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[Treatment of septic complications of thoracic injuries]
Abstract:
Treatment results of 77 patients with suppurative lung complications after injuries (n=22) and closed thoracic trauma (n=55) were analyzed. It was registered, that purulent process in lung was typical for the cases with direct primary lung tissue injury: 72.7% of patients with penetrating thoracic injuries and 83.6% of patients with closed chest trauma. Complex conservative treatment with adequate bronchial and transthoracic drainage proved to be the most effective modalities during the acute suppurative phase. Gram-negative flora proved to be the cause of chronic forms of suppuration. The overall chronisation rate of the lung abscess was 4.5% after penetrating thoracic injuries and 10.9% of patients with closed chest trauma.
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