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Revista Cubana de Medicina Militar
versão On-line ISSN 1561-3046
Resumo
SOSA DELGADO, Diego et al. Lesiones penetrantes y transfixiantes en los traumatismos abiertos del tórax. Rev Cub Med Mil [online]. 2001, vol.30, n.2, pp. 73-80. ISSN 1561-3046.
The severity and danger for life caused by the penetrating and transfixing chest injuries and the need of an immediate response with an early diagnosis and treatment, motivated us to go deep into the study of these traumas, to evaluate the timely application of the surgical treatment, to determine the causal injuring agents, the most affected organs and the complications. A retrospective study of 116 patients with open traumas of the chest that were attended at "Dr. Carlos J. Finlay" Military Central Hospital during 4 years was conducted. 80 patients had penetrating or transfixing injuries. Age, sex, the injuring agents, the visceral injuries, the therapeutics and the complications were analyzed. It was proved that male patients were the most affected during the third decade of life. It was also observed a predominance of puncturing and cutting agents. The lung was the most injured intrathoracic organ. 97 % of the patients had pneumothorax, hemothorax or hemopneumothorax., associated with a collapse of the lung and severe respiratory compromise. Thoracotomy was performed in 37 % of the patients and its indication was always considered as correct. The sepsis of the traumatic wound was the commonest complication.
Palavras-chave : THORACIC INJURIES [surgery]; THORACIC INJURIES [complications]; THORACIC INJURIES [diagnosis]; WOUNDS; PENETRATING; WOUNDS, STAB; RETROSPECTIVE STUDIES; MILITARY MEDICINE.