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KMID : 0378019750180030380
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New Medical Journal
1975 Volume.18 No. 3 p.380 ~ p.386
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Management of Traumatic Hemothorax
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Abstract
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The present report is the result in the management of 72 patients with traumatic hemothorax seen in the department of Thoracic Surgery, Chunnam University hospital from 1965 to August 1972 and Jeonbug Provincial Medical Center from 1973 to November 1974.
Penetrating injuries were 48cases and non-penetraing injuries were 24 cases.
Among 53 patients received thoracentesis or intercostal tube drainage for removal of hemothorax, elemination of hemothorax obtained 33 cases and the other 20 cases who had continuous bleeding or were unable to remove bolod clots, required thoracotomy.
19 patients who needed immediate thoracotomy or thoraco-abdominal operation had also intercostal tube drainage for prevention from the development of tension pneumothorax during the induction of anesthesia.
Indications of thoracotomy in 39 patients were as follow; contineuous bleeding 10 cases, removal of blood clots and decortication 5 cases, suspected concomitant thoracic and abdominal organ injuries 13 cases, multiple rib fracture 5 cases, cardiac injuries 4 cases, foreign body in the thoracic cavity I cases and lung destruction with chest wall defect 1 case.
Two patients died, and one had multiple stab wounds in both chest and abdomen expired due to postoperative renal and cardiac failure; the other who sustained chest injuries during a traffic accident developeda wet lung syndrome.
He expired due to pulmonary insufficiency and cardiac failure.
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