Dobrovol'skiĭ S R, Popovich V K, Vasil'eva N A, Burtsev A S
Khirurgiia (Mosk). 2007(5):32-8.
Results of surgical treatment of 154 patients with thorax injuries are analyzed. Most of the patients (93 ps, 60.4%) had penetrating wounds. X-ray examination remains the open most method of diagnosis. The pleural cavity drainage with prolonged aspiration was the main treatment method for the patients with closed thoracic trauma and open trauma without organs injury. Lethality was 7.8% among all the patients and 12.9% among ones with thoracic penetrating wounds. There were no postoperative lethal outcomes. The rate of postoperative complications was 22.7%. Videothoracoscopy and video-assisted mini-thoracotomy are effective methods for diagnosis and treatment, reduce the rate of postoperative complications and lethal outcomes, limit the indications to wide thoracotomy.
分析了154例胸部损伤患者的手术治疗结果。大多数患者（93例，60.4%）有穿透伤。X线检查仍然是最常用的诊断方法。持续吸引的胸腔引流是闭合性胸外伤和无器官损伤的开放性创伤患者的主要治疗方法。所有患者的死亡率为7.8%，胸部穿透伤患者的死亡率为12.9%。无术后死亡病例。术后并发症发生率为22.7%。电视胸腔镜和电视辅助小切口开胸术是有效的诊断和治疗方法，可降低术后并发症发生率和死亡率，限制广泛开胸的适应症。
