PMID: 9525005Apr 3, 1998Paper

The surgical treatment of lung lacerations and major bronchial disruptions caused by blunt thoracic trauma

Surgery Today
K MatsumotoT Fujisawa

Abstract

The records of 16 patients who suffered blunt thoracic trauma, causing lung lacerations in 13, bronchial disruptions in 2, and lung laceration with bronchial disruption in 1, were reviewed to investigate the correlations between clinical factors and prognosis. The causes of these injuries included 14 traffic accidents and 2 construction-related accidents, and the indications for surgery were massive bleeding in 12 patients, massive air leakage in 2, both in 1, and lung abscess in 1. Of the 16 patients, 11 (68.8%) underwent thoracotomy less than 4 h after admission, 3 (18.8%) underwent thoracotomy 4 to 24 h after admission, and 2 (12.5%) underwent thoracotomy 24 h or later after admission. The operative techniques included 1 pneumonectomy, 5 lobectomies, 2 bronchoplasties, and 8 minor repairs. The mortality rate was 43.7%, which included six early deaths occurring within 72 h of the trauma, and one late death. While major bronchial disruption is usually associated with a good prognosis, univariate and multivariate analyses demonstrated that intrapleural bleeding of 300 ml/h or more from time of trauma to chest tube drainage was significantly correlated with a poor prognosis. Moreover, an injury severity score (ISS) of 36 or more...Continue Reading

Citations

Dec 12, 2001·The Journal of Trauma·R Karmy-JonesM M Knudson
Jul 5, 2003·American Journal of Respiratory and Critical Care Medicine·Michael TsokosElisabeth E Turk
Sep 11, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Stephan HuberStefan Huber-Wagner
May 20, 2014·Case Reports in Emergency Medicine·Hideki OtaTsubasa Matsuo
Jan 28, 2010·The Annals of Thoracic Surgery·Noboru NishiumiHiroshi Inoue
Mar 8, 2018·Military Medicine·John P LichtenbergerBrett W Carter
Aug 12, 2015·Acute Medicine & Surgery·Yasuaki MizushimaTetsuya Matsuoka
May 11, 2002·Anaesthesia and Intensive Care·C P W Chu, P P Chen
Jun 3, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J A AsensioP Petrone
Nov 25, 2019·The Journal of Surgical Research·William DuongJeffry Nahmias

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