KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG NGỰC KÍN TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

  Background: Blunt chest trauma is a common cause of death in trauma patients and can cause serious consequences. There are various kinds of lesions in blunt chest trauma which are diagnosed based on the mechanism, clinical, laboratory and imaging features of the injuries. Emergency first aid is essential. Conservative treatment and pleural drainage are the most common treatments. Objectives: To research common chest injuries sand evaluate the treatment results of patients with blunt chest trauma. Materials and methods: A prospective descriptive study of 83 patients with blunt chest trauma at the Department of Thoracic Surgery, Can Tho General Hospital from April 2022 to December 2022. Results: Mean age: 52.80, 71.25% of cases were male. The main reason is due to traffic accidents (66.25%). The majority of chest trauma patients had chest pain (97.59%). Rib fracture was the most common injury (91.57%), followed by lung and pleural injuries (53.01%), the proportion of hemothorax, pulmonary contusion, hemopneumothorax and pneumothorax are 37.35%, 16.87%, 12.05% and 2.40%, respectively. 82/83 patients were well treated and discharged, accounting for 98.8% with a median hospital stay of 6 days. Comparing two groups of 1-3 rib fractures and >3 rib fractures, there was a significant difference in the proportion of lung contusion injury (p=0.035), hemopneumothorax (p=0.021), the median length of hospital stays (p=0.002), there is no difference in the degree of hemothorax (p=0.698). The median length of hospital stay differs between the two groups of patients with and without pleural drainage (p=0.007). Conclusion: The most common cause is traffic accidents; chest pain is the main symptom and rib fractures are the most common injury. Multiple rib fractures increase the risk of lung and pleural injuries and length of hospital stay.