Abstract
To evaluate treatment approaches and follow-up results of patients with hemothorax a total of 108 patients (81 male and 27 female) diagnosed as hemothorax and treated between August 2006 and October 2011 were evaluated retrospectively. The most common cause of hemothorax was blunt trauma (n:92, 85.2%) and 16 cases of hemothorax (14.8%) had a penetrating trauma. Hemothorax after blunt trauma occured due to traffic accidents in 58 cases (63.04%), due to falls from height in 21 cases (22.82%), due to injuries caused by animals in 9 cases (9.78%) and due to roadway crashes in 4 cases (4.34%). Hemothorax after penetrating trauma, on the other hand, occured due to penetrating injuries in 10 cases (62.5%) and due to gunshot injuries in 6 cases (37.5%). In the present study it was found that hemothorax accompanied by other organs injury in 56 cases (51.8%) and extremity fractures also present in 24 cases (22.2%). Thoracotomy was performed in 14 cases and median sternotomy in one case. Mortality was detected in 5 cases (4.6%). Hemothorax after thoracic trauma is an emergency which needs to be diagnosed immediately, inquired about accompanying organ injuries and treated accordingly.
Keywords
References
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Abstract
References
- Akay, H., 2002. Approach to diagnosis and treatment of hemothorax. Turkish Respiratory Journal. 4, 195-205.
- Arıkan, S., Yücel, A.F., Kocakuşak, A., Dadük, Y., Adaş, G., Önal, M.A., 2003. Retrospective analysis of penetrating cardiac injuries. Turkish Journal of Trauma and Emergency Surgery. 9, 124-128.
- Batırel, H.F, Yüksel, M., 2002. Evulation of Pleural Effusion: A Surgical Approach. Turkish Thoracic Journal. 3, 10-16.
- Battisella, F.D., Benfield, J.R., 2000. Blunt and penetrating injuries of the chest wall, pleura and lungs. In shields TW, Lo cicero J 3rd, Ponn RB, editors. General thoracic surgery. 5 th ed. Philadelphia: Lippincott Williams&Wilkins. 815-831.
- Cangır, A.K., Nadir, A., Akal, M., Kutlay, H., Özdemir, N., Güngör, A., Kavukçu, Ş., Akay, H., Ökten, İ., Yavuzer, Ş. 2000. Thoracic trauma: Analysis of 532 cases. Turkish Journal of Trauma and Emergency Surgery. 6, 100-105.
- Coselli, J.S., Mattox, K.L., Beall, A.C., 1984. Re-evaluation of early evacuation of clotted hemotorax. Am. J. Surg. 148, 785-790.
- Hunt, P.A., Greaves, I., Owens, W.A., 2006. Emergency thoracotomy in thoracic trauma: A review. Injury. 37, 1-19.
- IJpma, F.F., Van westreenen, H.L., Van Acker, G.J., 2009. Chest drains in trauma patients. Ned Tijdschr Geneeskd. 153: 300.
- Leblebici, H.İ., Kaya, Y., Koçak, A.H., 2005. Analysis of 302 cases with thoracic trauma. Turkish Journal of Thoracic and Cardiovascular Surgery. 13, 392-396.
- Oakland, C., Vivian J., 1987. Penetraring cardiac injuries. Br. Med. J. 295, 502-505.
- Oğuzkaya, F., 2003. Traumatic hemothorax and pneumothorax. In Yuksel, M., Çetin, G., Thoracic trauma 1. Edition, İstanbul. Turgut Publishing, Inc.
- Sayır, F., Çobanoğlu, U., Şehitoğulları, A., 2012. Traumatic hemothorax: Analysis of 282 patients. Turkish Thoracic Journal. 13, 111-116. Stahel, P.F., Schneider, P., Buhr, H.J., Kruschewski, M., 2005. Emergency Management of Thoracic Trauma, Orthopade. 34, 865-879.
- Şentürk, E., Yoldaş, E., Doğan, Y., 2009. Management of hemothorax: An evaluation of 192 cases. Turkish Journal of Thoracic and Cardiovascular Surgery. 17, 92-96.
- Yıldızeli, B., Yüksel, M., 2002. Surgical techniques of pleural diseases. Turkish Thoracic Journal. 3, 27-41.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgery Medical Sciences |
| Authors | |
| Publication Date | March 26, 2013 |
| Submission Date | November 26, 2012 |
| Published in Issue | Year 2013 Volume: 30 Issue: 1 |
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