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Surgical Factors in Chest Trauma Causing Post-Traumatic Thoracic Empyema | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 23, Issue 1, 2010, Pages 38-40 | ||
| Author | ||
| Qais M. Ali | ||
| Abstract | ||
| Objective: The aim of this study is to determine the most important surgical factors in chest trauma causing post-traumatic thoracic empyema and hence the most important measures to prevent its occurrence. Methods: Fifty four patients of post-traumatic thoracic empyema were analyzed. These patients were treated in the period of 1994-2006. The analysis included studying the series of available chest X rays of these patients from time of trauma to the occurrence of thoracic empyema, trying to discover the most important factors causing the empyema, and thus the most important preventive measures. Results: Thoracostomy tubes were inserted initially for all of these patients for the treatment of traumatic haemo-pneumotnorax. In 18 patients (33%) the tube was left in place for more than 10 days due to continued air leak with or without collapse of the involved lung. In 36 patients (67%) the tube was removed but the patients got empyema later. Study of the series of available chest X rays of these patients showed that in 14 patients (26%) there was an incomplete evacuation of the haemothorax. In 10 other patients (19%) there was re-accumulation of blood in the pleural cavity after removal of the Thoracostomy tube. In 7 other patients (13%) there was an incomplete expansion of the injured lung. In the remaining 5 patients (9%), no definite cause of the empyema could be identified. Conclusion: Incomplete evacuation of haemothorax, re-accumulation of blood after removal of thoracostomy tubes, incomplete expansion of the injured lungs, persistent air leak and delayed removal of thoracostomy tubes were the main Surgical causes of post-traumatic thoracic empyema. Delayed or improper management of these conditions usually end in thoracic empyema. Key wards: Chest trauma, Thoracic & Pleural Empyema | ||
| Keywords | ||
| Chest trauma; Thoracic | ||
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