[Instabile thorax in polytraumatized patients: set for stabilization.]
J Michek1, P Zelnícek, J Kubacák
1Centrum výzkumu speciální chirurgie a traumatologie.
Abstract:
Thoracic trauma represents 12,8 % of all trauma patients treated in author's workplace. Mortality was 12,7 %. Authors evaluated the contribution of new diagnostic methods, in particular CT examination with contrast and sonography, to determinate the indication of the early surgical treatment. From 1992 in the framework of the grant project the early surgical treatment of instable thorax was performed in 29 patients with polytrauma and serious associated thoracoabdominal trauma by the own set prepared in cooperation with the firm Medin. Authors determined indications for thorax stabilization prudently, and stated contemporary contraindications of this treatment. They evaluated the therapeutic contribution of early stabilization of the thorax in patients with polytrauma. Key words: instable thorax, polytrauma, indication, results of stabilization.
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