钝性多发伤患者隐匿性气胸:坦塔大学医院的经验

IF 0.2 Q4 RESPIRATORY SYSTEM
Amr A Abdelwahab, Heba Salem
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引用次数: 0

摘要

本研究的目的是回顾性评估钝性胸外伤(BCT)患者隐匿性气胸(OPTX)的发生率、治疗和预后。背景和设计进行回顾性观察性研究。患者和方法回顾性分析了2012年至2021年间9年的BCT病例。根据第一次治疗(保守与肋间管)对数据进行评估和比较。结果在2113例患者中,51例(2.4%)在研究期间接受BCT检查发现有OPTX。患者平均年龄37±6.58岁,男性居多(78.43%)。肋间管介入治疗29例(53.8%),保守治疗22例(43.13%)。气管开胸术患者的肺、胸部挫伤发生率明显高于常规开胸术患者。肺炎、肋骨骨折、住院时间、呼吸天数两组间差异无统计学意义。总死亡率为9.8%。结论:对于不需要重大干预或需要机械通气的BCT病例,其OPTX可以安全保守地管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occult pneumothorax in patients with blunted polytrauma: an experience of Tanta University Hospitals
Aims The objective of this study was to retrospectively evaluate the incidence, management, and outcome of occult pneumothorax (OPTX) in patients with blunt chest trauma (BCT). Settings and design A retrospective observational study was performed. Patients and methods Over 9 years, cases with BCT were identified retrospectively from the database between 2012 and 2021. Data were evaluated and compared based on the first management (conservative vs. intercostal tube). Results Of the 2113 cases, 51 (2.4%) admitted with BCT during the study period were found to have OPTX. The mean age of patients was 37 ± 6.58 years, and there was a male predominance (78.43%). Intercostal tube intervention was done in 29 (53.8%) cases, and conservative management was done in 22 (43.13%) cases. Cases that needed tube thoracostomy had significantly higher rates of lung and chest contusions and high Abbreviated Injury Scale compared with those who were treated conservatively. However, pneumonia, rib fracture, hospital length of stay, and ventilatory days were insignificantly different between both groups. Overall mortality was 9.8%. Conclusions In cases with BCT that did not require major interventions or needed to be mechanically ventilated, their OPTX can be safely managed conservatively.
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来源期刊
自引率
0.00%
发文量
46
审稿时长
22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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