[Thoracic injuries in children].

During the period between 1967 and 1987 at the Paediatric Surgical Clinic in Brno 87 multiple injuries with a dominant affection of the chest were treated. Two patients from the group died. The mortality increases considerably in groups with combined injuries of the chest and other parts of the body.

[Treatment of severe multiple injuries in children].

The authors make some general comments on the treatment of severe multiple injuries in children. They recommend to classify multiple injuries by the dominating symptoms into six basic groups. Next they present a classification of multiple injuries by the severity of the clinical course and present indicating rules for the treatment of severe associated injuries in children.

[Incidence of multiple injuries in children 1977-1986].

The authors give an account of multiple injuries in children during a ten-year period. Injuries are divided into different groups according to the dominating injury--head, chest, abdomen, pelvis, urogenital system, extremities and injuries without a dominant. From the total number of 277 casualties there were 101 with a predominating injury of the head, 35 of the chest, 41 of the abdomen, 24 of the pelvis and urogenital system, 71 of the extremities and 4 without a dominant.

[Treatment of post-traumatic reaction of multiple injuries in children].

Polytraumatism in childhood is one of the main causes of morbidity and mortality. Therefore we emphasize the demand of high-standard intensive or resuscitation care. In a severely injured child the first duty is to initiate urgent treatment as prevention focused on the minimalization of negative changes leading to mortality or prolonged morbidity.

[Pediatric polytrauma].

Based on earlier knowledge, the severe multiple injuries are classified according to dominating symptoms into several groups. Of the total number of 277 cases of polytraumatism treated in our clinic in 1977-1986, the highest mortality (i.e.