The Selective Conservative Management of Small Traumatic Pneumothorax Following Stab Injuries of the Chest in Emergency Department Patients  

作　　者：Abdel-Maguid Ramadan Adel Rizk Ayman Nosseir Tamer Zakhary Sarah Waheeb 

机构地区：[1]Cardiothoracic Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt [2]Radiodiagnosis, Faculty of Medicine, Alexandria University, Alexandria, Egypt [3]Cardiothoracic Surgery, Alexandria University, Alexandria, Egypt [4]Critical Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt [5]Emergency Medicine, Faculty of Medicine, Alexandria University, Alexandria, Egypt

出　　处：《Open Journal of Thoracic Surgery》2017年第2期29-37,共9页胸外科期刊（英文）

摘　　要：Background: Chest trauma is a catastrophic event that affects large number of population and leads to morbidity, disability and mortality. The definition of an occult pneumothorax is uncontested. It is a pneumothorax that was not suspected on the basis of clinical examination or plain radiography, but was ultimately detected with CT and usually treated conservatively. We evaluated the success of selective conservative management of small pneumothorax following stab chest injuries, in Emergency Department patients. Methods: This prospective study was conducted on 30 adult patients admitted to the emergency department with small traumatic pneumothorax following stab injury. All enrolled patients (n = 30) were assessed for the following, demographic data, laboratory investigations, chest x-ray and CT scan. The outcomes measured were discharge safely after successful conservative management, Initial conservative then invasive measurement. Results: There was a statistically significant difference between conservative and non-conservative types of management in the incidence of complications after 1 week follow up (p = 0.001). Conclusion: The majority of asymptomatic small pneumothorax patients following a stab injury can be managed conservatively. Haphazard chest tube insertion and aging may lead to complications in such patients.Background: Chest trauma is a catastrophic event that affects large number of population and leads to morbidity, disability and mortality. The definition of an occult pneumothorax is uncontested. It is a pneumothorax that was not suspected on the basis of clinical examination or plain radiography, but was ultimately detected with CT and usually treated conservatively. We evaluated the success of selective conservative management of small pneumothorax following stab chest injuries, in Emergency Department patients. Methods: This prospective study was conducted on 30 adult patients admitted to the emergency department with small traumatic pneumothorax following stab injury. All enrolled patients (n = 30) were assessed for the following, demographic data, laboratory investigations, chest x-ray and CT scan. The outcomes measured were discharge safely after successful conservative management, Initial conservative then invasive measurement. Results: There was a statistically significant difference between conservative and non-conservative types of management in the incidence of complications after 1 week follow up (p = 0.001). Conclusion: The majority of asymptomatic small pneumothorax patients following a stab injury can be managed conservatively. Haphazard chest tube insertion and aging may lead to complications in such patients.

关 键 词：Emergency TRAUMA CHEST PNEUMOTHORAX CONSERVATIVE 

分 类 号：R73[医药卫生—肿瘤]