尼日利亚创伤中心胸部损伤诊断分析。

Analysis of diagnoses of chest injuries in a Nigerian trauma center.

机构信息

Department of Surgery, National Hospital Abuja, Abuja, Nigeria.

出版信息

Niger J Clin Pract. 2023 Aug;26(8):1134-1138. doi: 10.4103/njcp.njcp_30_23.

DOI:10.4103/njcp.njcp_30_23

PMID:37635607

Abstract

BACKGROUND

Chest injury is one of the most common types of trauma-related injuries accounting for about 10% of trauma admissions in emergency services. The injuries may be immediate, life-threatening, or potentially life-threatening based on diagnosis after initial assessment. This study is intended to analyze the pattern of diagnosis found in chest-injured patients in a trauma center of a developing country.

METHODS

This is a retrospective study carried out in the trauma center of the National Hospital Abuja, Nigeria, between January 2015 and December 2017, as an analysis of the existing trauma registry. Data procession was done using SPSS version 24.0. Results were presented in tables and figures.

RESULTS

A total of 637 patients' data was studied, male to female ratio of 3.58 and mean age of 34.18 ± 11.34 years. More patients sustained isolated chest injury (59.5%) and blunt chest injury (78%). The most frequent diagnosis was chest wall soft tissue injury (CWSTI) (46.6%) despite the exclusion of minor chest wall injuries who did not require any form of observation. Haemothorax and rib fractures were the next most common diagnoses after CWSTI constituting 13.5% and 8.7%, respectively, while flail chest and aortic injuries were the least comprising 0.6% and 0.2%, respectively. The commonest associated injuries were traumatic brain injury (11.3%), extremity fractures (11.1%), and abdominal injuries (7.8%). Penetrating injuries were more significantly associated with male gender and isolated chest injuries (P < 0.001).

CONCLUSION

Chest wall soft tissue injuries constitute a large proportion of chest injuries seen in our setting. Despite its relatively low importance in the medical literature, it should be given attention in resource-poor settings in order to minimize missed significant injuries in the absence of diagnostic facilities. Therefore, high index of suspicion and low threshold for observation should be practiced in this group of patients.

摘要

背景

胸部损伤是最常见的创伤相关损伤类型之一，约占急诊创伤入院的 10%。根据初步评估后的诊断，这些损伤可能是即时的、危及生命的或潜在危及生命的。本研究旨在分析发展中国家一家创伤中心胸部受伤患者的诊断模式。

方法

这是一项在尼日利亚阿布贾国家医院创伤中心进行的回顾性研究，时间为 2015 年 1 月至 2017 年 12 月，作为对现有创伤登记处的分析。数据处理使用 SPSS 版本 24.0。结果以表格和图形表示。

结果

共研究了 637 名患者的数据，男女比例为 3.58，平均年龄为 34.18±11.34 岁。更多的患者发生了单纯性胸部损伤（59.5%）和钝性胸部损伤（78%）。最常见的诊断是胸壁软组织损伤（CWSTI）（46.6%），尽管排除了不需要任何形式观察的轻微胸壁损伤。血胸和肋骨骨折是 CWSTI 之后第二常见的诊断，分别占 13.5%和 8.7%，而连枷胸和主动脉损伤则是最少的，分别占 0.6%和 0.2%。最常见的相关损伤是创伤性脑损伤（11.3%）、四肢骨折（11.1%）和腹部损伤（7.8%）。穿透性损伤与男性和单纯性胸部损伤显著相关（P<0.001）。