Abstract
The incidence of chest trauma is rising rapidly and opinion continues to differ on its management. Our experience with 350 consecutive patients of chest injuries between January, 1983 and June, 1986 was reviewed. There were 300 males and 50 females. The average age was 29 years. Two-hundred and seventy-five (80%) were under forty years of age. The commonest presenting features were pain (100%), and dyspnoea (58.57%). Features of peripheral circulatory failure were found in 20 per cent. Ninety (25.71%) had other associated injuries. Three hundred (85.71%) were treated conservatively with 20 (6.66%) deaths. Forty-eight (13.7%) patients underwent surgical exploration (thoracotomy in 34 and laparotomy in 14 patients) with 8 deaths. Remaining 2 patients died in the casualty soon after arrival. The overall mortality was 8.57 per cent. The average period of hospitalisation was 9.5 days.
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References
Blair E, Topuzlu C, Deane R.Major blunt chest trauma. Current Problems in Surgery. Chicago Medical Year Book Publisher 1969; pp 2–4.
Gautam H.Profile of chest injuries. Indian J Surgery 1981;43: 187–97.
Hallen A, Hanson HE.Thoracic injuries: a survery of 765 cases. Scand J Thorac Cardiovasc Surg 1974;8: 34–45.
Dougall AM, Margarete P, Finley RJ, Holliday RL, Coles JC, Duff JH.Chest trauma: current morbidity and mortality. J Trauma 1977;17: 547–53.
Patterson LT, Schmitt HJ, Armstrong RG.Intermediate care of war wounds of chest. J Thorac Cardiovasc Surg 1968;55: 16–21.
Oparah SS, Mandal AK.Penetrating stab wounds of chest: experience with 200 consecutive cases. J Trauma 1976;16: 868–72.
Sturn JT, Points BJ, Perry JF.Haemopneumothorax following blunt chest trauma. Surg Gynec Obstet 1975;141: 539–45.
Webb WR.Thoracic trauma. Surg Clin North Am 1974;54: 1179–93.
Wilson RF, Murray C, Antomenko DR.Nonpenetrating thoracic injuries. Surg Clin North Am 1977;57: 17–36.
Lewis FR.Thoracic trauma. Surg Clin North Am 1982;62: 97–105.
Moore BP.Operative stabilization of nonpenetrating injuries. J Thorac Cardiovasc Surg 1975;70: 619–30.
Matilla S, Laustela E, Tala P.Penetrating and perforating thoracic injuries. Scand J Thorac Cardiovasc Surgery 1981;15: 105–10.
Weigelt JA, Christina M, Aurbakken RH, Meier D, Thal ER.Management of asymptomatic patients following stab wound of the chest. J Trauma 1982;22: 291–4.
Rosoff L, White EJ.Perforation of the esophagus. Am J Surg 1974;128: 207–18.
Poposky J, Lee YC, Berk JL.Gunshot wounds of the esophagus. J Thorac Cardiovasc Surg 1976;72: 609–12.
Brutel de la Riviere A, Brummelkamp WH.Penetrating thoracic trauma. Scand J Thorac Cardiovasc Surg 1980;14: 123–7.
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Beg, M.H., Siddiqui, Z., Lakhtakia, H. et al. Profile of thoracic trauma–An analysis of 350 cases. Indian J Thorac Cardiovasc Surg 4, 23–27 (1985). https://doi.org/10.1007/BF02664080
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DOI: https://doi.org/10.1007/BF02664080