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Management of Traumatic Hemothorax a Retrospective Study of 165 Cases in AL-Jamhoori Teaching Hospital in Mosul | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 18, Issue 1, 2019, Pages 30-36 PDF (0 K) | ||
| Authors | ||
| Saad Muwafaq Attash; Omer mothafar Hammodat; Rabea Salim Abd Aljabbar Alsofi | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Traumatic hemothorax is one of the most common thoracic injuries in the world. There are a lot of debates about the best method of management because of the possible risk of death and development of subsequent complications. OBJECTIVE: The objective of this study is to decide the best type of management of traumatic hemothorax (thoracostomy tube drainage versus thoracotomy) for life saving and prevention of subsequent complications such as trapped lung with fibrothorax, and empyema. METHODS: This is a retrospective study of 165 consecutive patients with traumatic hemothorax admitted to Al-Jamhoori teaching hospital in Mosul from 1st January 2010 to 1st January 2012. The parameters that were used in this study were sex, age group, mechanism of injury, hemodynamic state at time of according to volume of blood in the drainage bottle into5 groups. The patients were also classified into 4 groups depending on their hemodynamic state at time of presentation. RESULTS: Thoracostomy tube drainage was done in the majority of cases as the mainstay of treatment, in minority of cases it was followed by thoracotomy for those with massive hemothorax, severe hypovolemic shock, associated thoracic injuries, or those with complications. CONCLUSION: Traumatic hemothorax should be treated initially by thoracostomy tube drainage except in very urgent cases, and the decision for thoracotomy should be based on the hemodynamic state, the volume of drained blood and the presence of associated thoracic injuries. A good initial care and proper drainage of collected intrathoracic blood reduces the development of late complications and the subsequent need for thoracotomy. . | ||
| Keywords | ||
| KEYWORDS; thoracostomy tube; thoracotomy | ||
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