Penetrating cardiothoracic war wounds are very common among war casualties.
Those injuries require prompt and specific treatment in an aim to decrease mortality and late morbidity.
There are a few controversies about the best modality of treatment for such injuries, and there are not many large series of such patients in recent literature.
We analysed a group of 259 patients with penetrating cardiothoracic war wounds admitted to our institutions between May 1991 and October 1992.
There were 235 (90.7%) patients with thoracic wounds, 14 (5.4%) patients with cardiac wounds and in 10 (3.7%,) patients both heart and lungs were injured.
The cause of injury was shrapnel in 174 patients (67%), bullets in 25 patients (9.7%), cluster bomb particles in 45 patients (17.3%) and other (blast etc.) in 15 patients (6%). Patients, 69, had concomitant injuries of various organs.
The initial treatment in 164 operated patients was chest drainage in 76 (46.3%) patients, thoracotomy and suture of the lung in 71 (43.2%) patients, lobectomy in 12 (7.3%) patients and pneumonectomy in 5 (3%) patients.
Complications include pleural empyema and/or lung abscess in 20 patients (8.4%), incomplete reexpansion of the lung in 10 patients (4.2%), osteomyelitis of the rib in 5 patients (2.1%) and bronchopleural fistula in 1 patient (0.4%). (...)
Mots-clés Pascal : Plaie pénétrante, Thorax, Guerre, Croatie, Europe, Homme, Traumatisme, Coeur, Epidémiologie, Appareil circulatoire pathologie, Appareil respiratoire pathologie
Mots-clés Pascal anglais : Penetrating injury, Thorax, War, Croatia, Europe, Human, Trauma, Heart, Epidemiology, Cardiovascular disease, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0286547
Code Inist : 002B16A. Création : 15/07/1997.