AI Article Synopsis
- The study evaluated a diagnostic-therapeutic algorithm for treating severe blunt thorax injuries in 22 patients.
- Acute thoracotomy or laparotomy was performed in 17 patients, often due to conditions like diaphragm rupture or massive hemothorax.
- In 5 cases, thoracotomy occurred later for issues such as empyema or residual lung hematoma.
Article Abstract
Based on the group of 22 patients operated on for a blunt injury of the thorax a diagnostic-therapeutic algorithm was evaluated in the procedure of the treatment of a severe trauma of the thorax. Acute thoracotomy or laparotomy was performed in 17 patients and in 5 of them thoracotomy was indicated only after some time interval. In the patients with acute surgery the indication was a rupture of diaphragm, massive hemotorax in case of lung laceration of bleeding from thoracic wall, rupture of bronchus and an associated injury of intra-abdominal parenchymal organs. Thoracotomy was after some time interval performed in case of empyema of thorax, post-injury paresis of diaphragm and residual hematoma in the lung parenchyma. Key words: blunt injury of thorax, diagnostic-therapeutic algorithm, indication to an acute or postponed operation.
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