Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2022-10-03 19:05 |
SM ISO690:2012 ROTARU, Mihai, IVANOV, Artiom. Rezultatele pleurotomiei la traumatizații cu hemopneumotorace. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 25. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 25-25 | ||||||
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Rezumat | ||||||
Background. Approximately 70% of polytraumatized patients have thoracic trauma (TT) with variable severity, the pleuropulmonary complications reaching up to 30-45%, depending on the severity of the trauma. Objective of the study. Analysis of the treatment outcomes in patients with blunt chest trauma with hemopneumothorax (HPT) that underwent tube thoracostomy (TThS). Material and Methods. A prospective study performed on 86 patients with blunt TT and HPT that underwent TThS, at Institute of Emergency Medicine in 2019. mean age–51,2±1,8 years, M:F ratio-3,5:1, X-ray was performed on 83(96.5%) patients, FAST-79(91.9%), CT-19(22.1%). The epidemiology, trauma-hospitalization -TThS time, ISS score, duration of mechanical ventilation (MV), and the cause of repeated TThS were analysed. Results. Chest X-ray in 27(32.5%) cases did not show HPT, FAST only at 7(8.8%) found HT, CT had 100% sensitivity. Hemodynamic instability were 3(3.5%), with ISS>25. Isolated TT was found in 65(75.6%), polytrauma in 21(24.4%). There were 6 (7%) patients with MV, ISS> 25, and 2 with tracheostomy. In polytraumatized, TT was associated with: abdominal trauma-4 (19%), TBI-14(66.6%), locomotor trauma-12(57.1%). TThS at 64(74.4%) was performed within 24 hours. In one case, videothoracoscopy was required for hemostasis. Repeated TThS was performed in 3(3.5%) cases. Duration of TThS in Intensive Care Unit-7.9 days, in surgical department-4.2. Mortality-3.5%(n=3), cause: hypovolemic shock and MODS. Conclusion. Hemodynamic stability dictates the diagnosticcurative algorithm for patients with blunt TT and HPT. The duration of TThS and the need for repeated TThS depends on the degree of pulmonary contusion, prolonged mechanical ventilation, disorders of consciousness and prolonged immobilization. |
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Cuvinte-cheie Blunt thoracic trauma, hemopneumothorax, thoracostomy, traumatism toracic închis, hemopneumotorace, pleurotomie |
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