Sarihan H, Abes M, Akyazici R, Cay A, Imamoglu M, Tasdelen I
Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.
J Cardiovasc Surg (Torino). 1996 Oct;37(5):525-8.
Thirty four children with blunt thoracic trauma were treated at the university hospital, Trabzon. Eighteen of them were sustained in motor vehicle accidents, 14 were falls and two were a result of miscellaneous causes. Rib fracture developed in 16 patients and pulmonary contusion occurred in 18 patients. Pneumothorax existed in 19 patients, and hemothorax was noted in ten patients. Traumatic asphyxia occurred in seven patients. Associated head, abdominal, and orthopedic injuries were present in 21 patients. Chest drainage was performed in nineteen patients, while 15 patients received conservative treatment. Five patients required an emergency operation. Complications developed in five patients. Four patients were lost due to multiple system injuries. In this study, the injury patterns, complications and mortality of blunt thoracic injuries were discussed.
特拉布宗大学医院收治了34例钝性胸部创伤患儿。其中18例因机动车事故受伤,14例因跌倒受伤,2例因其他各种原因受伤。16例患者发生肋骨骨折,18例患者出现肺挫伤。19例患者存在气胸,10例患者发现血胸。7例患者发生创伤性窒息。21例患者伴有头部、腹部和骨科损伤。19例患者进行了胸腔引流,15例患者接受了保守治疗。5例患者需要紧急手术。5例患者出现并发症。4例患者因多系统损伤死亡。本研究讨论了钝性胸部损伤的损伤模式、并发症和死亡率。