[Surgical aid in chest traumas]
Abstract:
The article analyses the results of surgical treatment of 360 patients with traumatic damages of the thoracic organs in the Crimean Region from 1981 to 1989. The results proved to be best in patients who underwent operation in the Crimean Regional Pulmono-Surgical Center (RPSC). The clinical outcome was positive in 89.8% of patients. The results of treatment were somewhat poorer in patients who were operated on by thoracic surgeons at surgical departments and then transferred to the PRSC. No complications occurred in the postoperative period in 79.9% of cases. The results were poorest in patients who were operated on by general surgeons and transferred subsequently to the RPSC. Postoperative complications developed in 38.6% of cases. All complications in patients who underwent operation at general surgical departments were characteristically connected with inadequate evacuation of the exudate and air and inadequate cleansing of the bronchial tree. In view of this, organization of emergency aid in regional thoracic departments is the optimal variant. General surgical departments must be equipped with the appropriate apparatus.
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