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  1. Fulltext. Penetrating cardiothoracic war wounds. Discussion.

    Article - En anglais

    Fulltext.

    Objective 

    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.

    Methods 

    We analysed a group of 259 patients with penetrating cardiothoracic war wounds admitted to our institutions between May 1991 and October 1992.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0286547

    Code Inist : 002B16A. Création : 15/07/1997.