Questions of diagnosis of gunshot wounds of the neck at the civilian population in the conditions of the local military conflicts

As a result of the conducted research it is established that the majority wounded 59 (45,7%) had wounds in forward department of a neck, at the same time in 21 (16,2%) in the I zone that couldn't but affect nature of damage of internal structures and surgical tactics. From 129 victims of damage only of soft fabrics it is revealed at 26 (20,1%) wounded, at the others 103 (79,8%) it is noted damages of bodies and structures. Multiple - 71 (55%) damages prevailed, at the same time single have been registered in 51 (44,9%). Difficulties of diagnostics, complexity of work of crew on duty, working in the conditions of military operations, lack of the diagnostic equipment and specialized crews, undoubtedly, led to diagnostic mistakes. So, when carrying out the retrospective analysis it is established that from 129 necks which have arrived with gunshot wounds, diagnostic mistakes have been noted at 58 (44,9%) wounded. In most cases - 34 (26,3%) diagnostic mistakes have been revealed at patients with wounds of internals that has led to development of complications and lethal outcomes, still in 19 (14,7%) supervision diagnostic mistakes were at wounded with wounds of vessels that has been connected with the stopped bleeding or existence of an alien subject which carried out a tampon role. In the others 5 (3,8%) diagnostic mistakes were at patients with soft tissues of a neck, at the same time the wound channel hasn't been estimated.