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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue1
Subject Area: Medicine
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DOI: 10.5272/jimab.2021271.3611
Published online: 17 March 2021
Original article
J of IMAB. 2021 Jan-Mar;27(1):3611-3614
DIAGNOSIS AND TREATMENT OF THORACIC INJURIES AND TRAUMATIC HEMOPNEUMOTHORAX
Konstantin Kostov
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Department of General, Visceral and Emergency Surgery, UMHATEM "N. I. Pirogov" – Sofia, Bulgaria.
ABSTRACT:
Purpose: The purpose of the study is to analyze the diagnosis and treatment of patients with traumatic chest injuries and traumatic hemopneumothorax in UMHATEM "N. I. Pirogov ".
Material and Methods: Data on 113 patients with thoracic trauma were processed within a retrospective clinical analysis for the period of 1.1. 2016 to 1.1. 2018 in the General, Visceral and Emergency Surgery Section of the UMHATEM "Pirogov. Of the hospitalized women are 38 (33.63%), men 75 (66.37%). The age in this retrospective analysis varied from 18 to 83 years (average 57.4 years).
Results: In our study, among 113 patients, 43 patients had a pneumothorax, 29 patients were with hemothorax, 18 patients with hemopneumothorax, 2 patients had tension pneumothorax and others 21 had only rib fractures. Associated injuries were confirmed in 43 patients (38.05%). From all patients group, 21 patients were managed conservatively, 89 patients with chest tube insertion and only 3 with thoracotomy.
Conclusions: The majority of the patients with a thoracic injury can be performed in emergency surgery by conservative management or by mini-intervention- thoracic chest tube. Tube thoracostomy was evaluated to be important for pleural collections from blunt or penetrating trauma. Therefore it was recommended as a first-line therapeutic approach.
Keywords: thoracic injury, hemothorax, pneumothorax, chest tube, management,
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Please cite this article as: Kostov K. Diagnosis and treatment of thoracic injuries and traumatic hemopneumothoraxr. J of IMAB. 2021 Jan-Mar;27(1):3611-3614. DOI: 10.5272/jimab.2021271.3611
Correspondence to: Konstantin Kostov, MD, PhD, Surgical Clinic, UMHATEM "N. I. Pirogov"; 21, Totleben Blvd., 1606 Sofia, Bulgaria; E-mail: dr.k.kostov@gmail.com
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Received: 04 May 2020
Published online: 17 March 2021