A series of 100 penetrating wounds of the abdomen and thorax is reviewed. Eighty-three were due to stab-wounds. The recent increase in incidence is confirmed and the distribution throughout the day and months of the year is given. The results and methods of treatment of thirty-six abdominal, ten thoraco-abdominal and thirty-seven thoracic wounds are given and described. An operative approach to abdominal wounds is supported. Conservative measures, including more frequent use of intercostal-tube drainage for pneumothorax and haemothorax, are satisfactory for the majority of chest wounds. Cardiac wounds require urgent assessment and resuscitation with pericardiocentesis and thoracotomy.
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| http://dx.doi.org/10.1136/pgmj.44.508.127 | DOI Listing |
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