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[Intrapleural hemorrhage in closed chest trauma]

G N Ursol, L P Kondratenko, V A Davydkin

    Klinicheskaia Khirurgiia
    |January 1, 1994
    PubMed
    Summary

    This study treated 439 patients with closed thoracic trauma, finding that surgical intervention and pleural cavity drainage were necessary for a small percentage. A novel thoracoscopic technique effectively treated clotted hemothorax in five patients.

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    Area of Science:

    • Thoracic surgery
    • Trauma care
    • Pulmonology

    Background:

    • Closed thoracic trauma is a significant clinical concern.
    • Management of thoracic trauma requires careful consideration of surgical intervention and drainage.
    • Clotted hemothorax presents a specific challenge in thoracic trauma management.

    Purpose of the Study:

    • To analyze the outcomes of managing closed thoracic trauma.
    • To evaluate the efficacy of surgical interventions and pleural drainage.
    • To assess a novel thoracoscopic technique for clotted hemothorax.

    Main Methods:

    • Retrospective analysis of 439 patients with closed thoracic trauma.
    • Documentation of surgical interventions and pleural cavity drainage procedures.
    • Application of an original thoracoscopic technique for clotted hemothorax in select cases.

    Main Results:

    • 39 patients (8.9%) underwent surgery.
    • 78 patients (17.7%) required pleural cavity drainage.
    • Clotted hemothorax occurred in 2.1% of cases, with 5 patients treated thoracoscopically.
    • All patients achieved recovery.

    Conclusions:

    • Closed thoracic trauma management involves a spectrum of interventions.
    • Surgical and drainage procedures are employed in a minority of cases.
    • The described thoracoscopic technique offers a viable solution for clotted hemothorax.

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