Abdulin A A, Konovalov A M
Grud Serdechnososudistaia Khir. 1990(5):49-51.
Examination, treatment, and postoperative complications in 286 patients with penetrating chest injuries are analysed. Errors in the diagnosis and treatment were disclosed in 104 (36.4%) cases. All of the wounded were operated on, a total of 490 operations were carried out. Complications occurred in 69 (14.1%) patients. Sixteen (5.6%) patients died. Diagnostic errors were made in 28 patients, tactical in 25, technical in 51, faulty postoperative management was revealed in 18 patients. A connection between the errors and complications was established in 52 cases with complications (75.4%). Gross fatal errors were made in 7 of 16 patients who died.
对286例穿透性胸部损伤患者的检查、治疗及术后并发症进行了分析。104例(36.4%)病例存在诊断和治疗失误。所有伤员均接受了手术,共进行了490次手术。69例(14.1%)患者出现并发症。16例(5.6%)患者死亡。28例存在诊断失误,25例存在策略失误,51例存在技术失误,18例存在术后管理不当。52例有并发症的病例(75.4%)中发现失误与并发症之间存在关联。16例死亡患者中有7例存在严重致命失误。