ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Analysis of 302 Cases With Chest Trauma
İbrahim Halil Leblebici1, Yusuf Kaya2, Ali Hüsnü Koçak2
1Mersin Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Mersin
2Mersin Devlet Hastanesi, Göğüs Cerrahisi Kliniği, Mersin
Background: We retrospectively evaluated patients with thoracic trauma who were hospitalized and treated at chest surgery clinic from January 2002 to November 2004.

Methods: A total of 302 patients (263 males, 39 females; mean age 32.7 years) with thoracic trauma were evaluated with respect to etiology, thoracic pathologies, associated injuries, and treatment methods.

Results: Blunt and penetrating thoracic injuries were found in 111 (36.8%) and 191 (63.3%) patients, respectively. The most common causes were traffic accidents (80.2%) and stab wounds (93.2%) for blunt and penetrating thoracic injuries, respectively. The most frequent thoracic pathologies were soft tissue injuries (32.1%) followed by pneumothorax (27.2%), multiple rib fractures (21.5%), hemopneumothorax (20.5%), and hemothorax (15.9%). Extrathoracic injuries were seen in 91 patients (30.1%), the most common being abdominal (29.3%), cranial (25.2%), and extremity injuries (21.8%). Treatment was conservative in 115 patients (38.1%), while the remaining patients were treated with tube thoracostomy (n=157, 52%), pneumography, diaphragmatic repair or bleeding control with thoracotomy (n=25, 8.3%), cardiac repair with thoracotomy or sternotomy (n=18, 6%), and esophagus-trachea repair (n=1, 0.3%). Mortality occurred in eight patients (2.7%).

Conclusion: It is important that thoracic trauma patients with increased risk for mortality and morbidity should receive immediate and systematic treatment.

Keywords : Accidents, traffic; diaphragm/injuries; thoracic injuries/ epidemiology/etiology/surgery; trachea/injuries; wounds, nonpenetrating; wounds, penetrating
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