Characterization of injured patients with traumatic hemo-pneumothorax at "General Calixto Garc铆a" University Hospital (2012-2014)

Revista Cubana de Cirugía

Hospital Universitario General Calixto García, La Habana, Cuba¹  Larrea Fabra, Martha Esther¹  Frías Méndez, Eddy Francisco¹  Torres Gómez, José Onell¹  Espinoza Verdezoto, Stalin Oswaldo¹ 

关键词: chest trauma;    hemothorax;    pneumothorax;    pleurotomy.;   

DOI  :  

学科分类：外科医学

来源: SciELO

【 摘 要 】

Introduction: thoracic trauma is a common cause for early and late mortality, occurring in 25 % of all injured patients.Objective: to characterize the clinical and epidemiological behavior of the injured patients with traumatic hemo-pneumothorax.Methods: a descriptive, retrospective, longitudinal study was carried out, involving 357 injured patients diagnosed with traumatic hemo-pneumothorax and admitted to the general surgery service at General Calixto García University Hospital from January 1, 2012 until December 31, 2014. The variables included were age, sex, cause for trauma, pre-hospital and hospital care, severity rate of injury, associated injuries, hospital stay and discharge status.Results: there was a predominance of males (78.1 % ) and of ages 20-39 years (26.0 % ). Traffic accidents were the main cause for trauma and severity increased by the presence of hypovolemic shock trauma and spinal cord injuries. According to the injury severity index, 53.3 % of the injured patients were classified as moderate. 41.2 % of the injured patients arrived at the hospital 1-2 hours after the trauma. The hospital stays for highest number of admitted alive was between four and five days. The deaths occurred mostly after seven days. Associated injuries and decompensation of chronic diseases were causes for the largest amount of deaths (12.9 % , n= 46).Conclusions: the clinical and epidemiological characteristics of the injured patients with traumatic hemo-pneumothorax match those reported by national and international studies.

【 授权许可】

Unknown