Cobanoğlu Ufuk, Yalçinkaya Irfan
Department of Thoracic Surgery, Yüzüncü Yil University, Faculty of Medicine, Van, Turkey.
Ulus Travma Acil Cerrahi Derg. 2010 Jan;16(1):77-83.
In this study, it was aimed to assess patients who applied to our clinics with the complaints of thorax trauma, consistent thoracal wall injury, complications due to these traumas, and the therapeutical methodology.
Records of 668 patients, hospitalized at Süreyyapaşa Training and Research Hospital and Yüzüncü Yil University Faculty of Medicine between January 1995 and December 2007, were reviewed retrospectively. Three hundred ninety-nine (59.7%) patients had blunt trauma whereas 269 (40.2%) patients had penetrating trauma. Thoracic wall injury was detected in a total of 361 (54%) patients (303 (75.9%) with blunt trauma; 58 (21.5%) with penetrating trauma).
Patients were assessed according to any developed pathology related with thoracic wall injuries (contusion, hematoma, subcutaneous emphysema, bone fractures, flail chest, penetrating chest wall wounds, and traumatic asphyxia), complications and treatment modality.
Thoracal wall injuries increase morbidity and mortality due to the close proximity of the chest wall to the cardiopulmonary system. At the initial evaluation, even without any corresponding intrathoracic pathology, these patients must be monitored attentively for a probable cardiopulmonary complication for consecutive days.
在本研究中，旨在评估因胸部创伤、胸壁连续性损伤、这些创伤所致并发症以及治疗方法而前来我们诊所就诊的患者。
回顾性分析了1995年1月至2007年12月期间在苏雷亚帕夏培训与研究医院及于祖尔耶伊尔大学医学院住院的668例患者的记录。399例（59.7%）患者为钝性创伤，而269例（40.2%）患者为穿透性创伤。总共361例（54%）患者检测到胸壁损伤（钝性创伤患者303例（75.9%）；穿透性创伤患者58例（21.5%））。
根据与胸壁损伤相关的任何已发生的病理情况（挫伤、血肿、皮下气肿、骨折、连枷胸、穿透性胸壁伤口和创伤性窒息）、并发症和治疗方式对患者进行评估。
由于胸壁与心肺系统距离很近，胸壁损伤会增加发病率和死亡率。在初始评估时，即使没有任何相应的胸内病理情况，这些患者也必须连续数天密切监测是否可能发生心肺并发症。
