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Volume 25 |
April - June 2009 (Part-I) |
Number 2 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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Volume 25 |
April - June 2009 (Part-I) |
Number 2 |
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Chest Trauma Management: Good outcomes
possible in a general surgical unit
Muhammad Laiq uz Zaman Khan1, Jahanzaib Haider2,
Shams Nadeem Alam3, Masood Jawaid4, Khalid Ahsan Malik5
ABSTRACT
Objective: To determine the predominant pattern of injuries following chest trauma and assess the adequacy of the management strategies employed in a general surgical unit of a trauma care hospital.
Methodology: This Case Series study with prospective data collection was conducted in Surgical Unit-II & Unit-VI of Civil Hospital Karachi, from September 2007 to February 2009. One hundred and three consecutive patients with thoracic trauma presenting in emergency department were evaluated. Patients above 12 years of age, who presented with chest trauma either alone or associated with multiple trauma were included.
Results: A total of 103 patients were studied for various chest injuries during eighteen months period. As a whole 58% of patients had blunt chest injury as compared to 42% who had penetrating injuries. Thirty patients (29%) had chest wall injuries (rib fracture, mild lung contusion) without haemothorax or pneumothorax, who were managed conservatively. Chest intubation was required in 64 patients (62%) having hemothorax / pneumothorax. Thoracotomy was required in nine patients (9%), in which only two were emergency thoracotomy and seven were elective. Over all mortality rate was 8%.
Conclusion: Penetrating injury of chest is rising with time due to gunshot injuries although blunt trauma is still more common. Majority of chest trauma patients can be managed in a general surgical unit satisfactorily and few patients need major operative management.
KEY WORD: Chest trauma, Tube thoracostomy, Pneumothorax, Hemothorax, Blunt trauma, Penetrating trauma.
Pak J Med Sci April - June 2009 Vol. 25 No. 2 217-221
How to cite this article:
Khan MLZ, Haider J, Alam SN, Jawaid M, Malik KA. Chest Trauma Management:Good outcomes possible in a general surgical unit. Pak J Med Sci 2009;25(2):217-221.
1. Dr. Muhammad Laiq uz Zaman Khan FCPS
Senior Registrar
2. Dr. Jahanzaib Haider FCPS
Senior Registrar
3. Dr. Shams Nadeem Alam FRCS
Associate Professor
4. Dr. Masood Jawaid FCPS
Medical Officer
5. Prof. Khalid Ahsan Malik MS
Professor of Surgery
1-5: Surgical Unit VI,
Civil Hospital Karachi &
Dow University of Health Sciences,
Karachi - Pakistan.
Correspondence
Dr. Muhammad Laiq uz Zaman Khan, FCPS
Senior Registrar
Surgical Unit VI,
Civil Hospital &
Dow Medical College.
Karachi. Pakistan.
Email: drlaiq@yahoo.co.uk
* Received for Publication: April 5, 2009
* Revision Received: April 14, 2009
* 2nd Revision Received: May 1, 2009
* Final Revision Accepted: May 5, 2009
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