The methodical textbook edition is devoted to clinical and morphological changes of blood and tissue to determine the time of causing damage. In the part are described the peculiarities of traumatic disease and morphological changes in some internal organs in trauma different limitations including the stage of shock. The part presents the of modern views on the prescription of the damage and pathomorphological changes in internal abdominal trauma varying period. The part presents the dynamics of histological and histochemical indicators of liver according to old injuries and the death. The last part shows the Features histological and histochemical changes in spleen indices based on old injuries and the death.