Source: Annual Congress 2002 - Chest trauma, airways and miscellaneous

Abstract

Trauma is the third leading cause of death, exceeded only by the cardiovascular diseases and cancer. Blunt injuries to the chest may result from decelerating vehicular trauma or as a result of a fall, crushing injury, or blast trauma. Blunt thoracic traumas to the thorax may result in isolated respiratory or circulatory impairment, or more frequently a combination of both. In this report, we examined 129 patients with major blunt chest trauma, which were hospitalised in our clinic between 1994-2000. Sixty-four out of 129 patients with blunt trauma were inflicted by traffic accidents, 19 by earthquake, 46 by various insults such as falls, crashes and hitting. It was included 108 males and 21 females in this study. Average age of all patients was 37.2 (11-86). Of the patients, there were 19 hemothoraces, 21 pneumothoraces, 4 hemopneumothoraces, 15 lung injuries, 6 flail chest, 2 contusion of the heart, 82 rib, 9 sternal, and 5 clavicular fractures. Also there were quadroparalyse caused by falling in one patient and polytrauma in 18 patients. In the patients, tube thoracostomy was performed in 32, thoracotomy in 1, VATS in 3, laparotomy in 4 and other operations in 19. There were three exitus.The important part of the fatalities before arrival to hospital was due to injuries of the cardiovascular and pulmonary systems in blunt traumas. Among the chest trauma patients who had additional organ trauma, the mortality and morbidity rate was found significantly higher than chest trauma patients alone.

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T. Isitmangil, S. Sebit, H. Tunc, R. Gorur, O. Erdik, K. Balkanli, O. Y. Ozturk (Istanbul, Turkey). A review of blunt thoracic traumas followed in our clinic over seven years period. Eur Respir J 2002; 20: Suppl. 38, 971

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