Nicolaou N, Conlan A A
S Afr Med J. 1982 Aug 28;62(10):324-8.
Nine patients who sustained high-velocity missile injuries to the thorax are reported. Two types of injury were seen: a 'through-and-through' injury (6 patients), and a 'tangential' injury (3 patients). Six patients underwent thoracotomy: 3 had pulmonary resections and 2 had closure of bronchopleural fistulas, while 1 had repair of the diaphragm and liver, which were lacerated, and a pleural toilet. A further patient had a rib resection for empyema at a later stage. All patients had intercostal drains inserted as initial treatment. There were no deaths, and those patients who underwent pulmonary resection recovered fully and rapidly after operation. Extensive pulmonary damage and lobar infarction occurred with 'tangential' high-velocity missile injuries to the thorax.
报告了9例胸部遭受高速导弹伤的患者。观察到两种损伤类型：“贯通伤”（6例患者）和“切线伤”（3例患者）。6例患者接受了开胸手术：3例行肺切除术，2例闭合支气管胸膜瘘，1例修复撕裂的膈肌和肝脏并进行胸膜腔清洗。另有1例患者在后期因脓胸行肋骨切除术。所有患者均首先插入肋间引流管进行治疗。无死亡病例，接受肺切除术的患者术后恢复良好且迅速。胸部“切线”高速导弹伤会导致广泛的肺损伤和肺叶梗死。
