Ekpe E E, Ette V F, Akpan A
Niger J Med. 2014 Jan-Mar;23(1):77-82.
Cardiothoracic surgical pathologies are available in all geographical regions of the world. Human and material resources are necessary for prompt diagnosis and proper treatment of these cases.
Retrospective analysis of cardiothoracic surgical cases in the first five years of our new cardiothoracic surgery unit was done.
A total of 714 cases were seen during the study period with age range one month to 76 years with mean age of 37.12 +/- 11.24 and male female ratio of 2:1. The yearly admissions from 2007 to 2011 were 14%, 17%, 21%, 21% and 26% respectively. Cardiovascular diseases occurred in 22.30%, with 6% of children suffering from congenital heart defect and 6% of men suffering from acquired vascular disease. Surgical complications of pleuropulmonary tuberculosis occurred in 21.4% while thoracic trauma occurred in upto 21% of the patients. Aerodigestive tract foreign bodies were encountered in 10.1% of cases and Pyogenic diseases occurred in 8.68%. Oesophageal lesions were diagnosed in 6.4% of the patients, pulmonary tumours including primary and secondary tumours were found in 4.3% while nontraumatic chest wall pathologies which included chest wall tumours, congenital deformities and chronic osteomyelities accounted for 3.2%. Mediastinal pathologies occurred in 0.98% and in the remaining 1.5% rare diseases were diagnosed such as third degree heart block, pulmonary embolism and thoracic endometriosis syndrome.
This study shows that cardiothoracic surgical pathologies are common in our centre with predominance of thoracic pathologies, and therefore need to prioritize and ensure manpower development for treatment of all kinds of thoracic pathologies.
心胸外科疾病在世界所有地理区域均有发生。对于这些病例的及时诊断和恰当治疗，人力和物力资源是必不可少的。
对我们新的心胸外科单元头五年的心胸外科病例进行回顾性分析。
在研究期间共诊治714例病例，年龄范围为1个月至76岁，平均年龄为37.12±11.24岁，男女比例为2:1。2007年至2011年的年入院率分别为14%、17%、21%、21%和26%。心血管疾病占22.30%，其中6%的儿童患有先天性心脏缺陷，6%的男性患有后天性血管疾病。胸膜肺结核的手术并发症发生率为21.4%，而胸部创伤发生率高达21%的患者。10.1%的病例遇到气道消化道异物，化脓性疾病发生率为8.68%。6.4%的患者被诊断为食管病变，4.3%发现有肺部肿瘤，包括原发性和继发性肿瘤，而非创伤性胸壁病变（包括胸壁肿瘤、先天性畸形和慢性骨髓炎）占3.2%。纵隔病变发生率为0.98%，其余1.5%诊断为罕见疾病，如三度心脏传导阻滞、肺栓塞和胸段子宫内膜异位症综合征。
本研究表明，心胸外科疾病在我们中心很常见，以胸部疾病为主，因此需要优先考虑并确保人力发展，以治疗各种胸部疾病。
