medigraphic.com
ISSN 1727-897X (Electronic)

2014, Number 1

<< Back Next >>

Medisur 2014; 12 (1)

Thoracic Trauma in the Province of Cienfuegos. A Three-year Study

Orozco ASP, Torres AL, Otzoy CHL

Language: Spanish
References: 17
Page: 77-84
PDF size: 182.68 Kb.


ABSTRACT

Background: thoracic traumas have a high incidence in today's society and they are very important due to the nature of the organs located inside the chest.
Objective: to characterize thoracic trauma.
Methods: a case series study was conducted at the Department of General Surgery of the Dr. Gustavo Aldereguía Lima Hospital in Cienfuegos. All 184 patients treated for thoracic trauma and admitted to the department in the years 2009, 2010 and 2011 were studied. Variables analyzed were: age, sex, skin color, occupation, place where the accident occurred, cause of trauma, affected anatomical site, clinical presentation, treatment, patient’s condition at discharge and compliance with good clinical practice guidelines.
Results: most patients were males aged 41 to 31 years. Stab wounds predominated. Pleura and lung were the most affected anatomical sites while closed pneumothorax was the most frequent clinical presentation. Adherence to good clinical practice guidelines was appropriate in 92% of the cases.
Conclusions: thoracic trauma differs in some aspects when compared to other countries because of social and economic differences.


REFERENCES

  1. Suárez T, Morales CH, Restrepo J, Orozco EH, Sanabria AE, León JP et al. Ecografía torácica vs. Tomografía multicortes en el diagnóstico del hemotórax retenido postraumático. Rev Colomb Radiol. 2012 ; 23 (2): 3465-70.

  2. Morales Wong MM, Gómez Hernández MM, Ramos Godines A, González Folch R. Lesiones torácicas graves y el enfoque del control de daños. Rev Cubana Cir [revista en Internet]. 2008 [ cited 19 Abr 2010 ] ; 47 (1): [aprox. 10p]. Available from: http://scielo.sld.cu/scielo.php?pid=S0034-749320 08000100015&script=sci_arttext.

  3. Castellanos González J, Leal Mursulí A, Adefna Pérez R, Izquierdo Lara F, Ramos Díaz N. Comportamiento de la atención integral de los traumatismos torácicos. Hospital Miguel Enríquez (2006-2008). Rev. Cubana Cir [revista en Internet]. 2011 [ cited 19 Abr 2010 ] ; 50 (2): [aprox. 13p]. Available from: http://scielo.sld.cu/scielo.php?pid=S0034-749320 11000200003&script=sci_arttext&tlng=en.

  4. Ahumada V, Ottolino P, González A, Pinto F, Barrios R. Trauma torácico severo (TTS): experiencia en el Hospital Domingo Luciani: Caracas. Rev Venez Cir. 2010 ; 63 (4): 184-90.

  5. Senturk E, Senturk Z, Sen S, Ture M, Avkan N. Mortality and associated factors in a thoracic surgery ICU. J Bras Pneumol [revista en Internet]. 2011 [ cited 4 May 2013 ] ; 37 (3): [aprox. 15p]. Available from: http://www.scielo.br/pdf/jbpneu/v37n3/v37n3a14. pdf.

  6. Bello N, Bórquez P, Guridi R, Baeza A, Lilayú D. Perfil y manejo del trauma torácico en un hospital regional. Rev Chil Cir. 2005 ; 57 (5): 393-6.

  7. Westphal LF, de Lima LC, Correa J, da Silva J, dos Santos VL, Westphal DC. Thoracic trauma: analysis of 124 patients who underwent thoracotomy. Rev Col Bras Cir [revista en Internet]. 2009 ; 36 (6): [aprox. 10p]. Available from: http://www.scielo.br/pdf/rcbc/v36n6/04.pdf.

  8. Llerena Rodríguez M, Reyes Segura SM, Martínez Versonic N, Vignier Figueredo D, Fernández Gutiérrez M. Caracterización de la evaluación del traumatismo torácico. Rev Cub Med Int Emerg [revista en Internet]. 2007 [ cited 19 Abr 2010 ] ; 6 (4): [aprox. 19p]. Available from: http://bvs.sld.cu/revistas/mie/vol6_4.

  9. Brito Sosa G, Vivó Núñez JG. Incidencia del neumotórax en el Hospital Julio Trigo López. Rev. Cubana Cir [revista en Internet]. 2012 [ cited 19 Abr 2010 ] ; 51 (1): [aprox. 9p]. Available from: http://scielo.sld.cu/scielo.php?pid=S0034-749320 12000100002&script=sci_arttext.

  10. Urdaneta Weir J, Borjas Salas G, García Henry G, González JC, Añez I. Detección rápida de neumotórax mediante efast en pacientes con trauma múltiple. Rev. Venez Cir. 2010 ; 63 (4): 174-9.

  11. Freixinet Gilart J, Hernández Rodríguez H. Normativa sobre diagnóstico y tratamiento de los traumatismos torácicos. Arch Bronconeumol. 2011 ; 47 (1): 41-9.

  12. Valenzuela M, Cancino P, Cabezas F, Donoso G, Torre I. Experiencia en Traumatismo torácico. Hospital Valparaíso. Rev Chil Cir. 2008 ; 55 (5): 449-53.

  13. Larrea Fabra M, Castell Florit A, Rojas Ramírez A. Trauma torácico, prevención en el área laboral y conducta en las instituciones sanitarias. Rev Cubana Cir [revista en Internet]. 2009 [ cited 19 Abr 2010 ] ; 48 (1): [aprox. 12p]. Available from: http://scielo.sld.cu/scielo.php?pid=S0034-749320 09000100013&script=sci_arttext.

  14. Franco R, Vivas JF, Jiménez J, Pinto H, Morales D. Empiema posterior a trauma tóraco-abdominal. Rev Venez Cir [revista en Internet]. 2009 [ cited 19 Abr 2010 ] ; 62 (2): [aprox. 8p]. Available from: http://www.sociedadvenezolanadecirugia.org/des carga/Revista_Vol62_N2_Junio2009/EmpiemaPost eriorTraumaToraco-abdominal.pdf.

  15. Morales JL, Arriagada R, Gómez J, Santana R, Martel K, Morales C. Empalamiento tóraco-abdominal: reporte de un caso. Rev Chil Cir [revista en Internet]. 2009 [ cited 19 Abr 2010 ] ; 61 (4): [aprox. 7p]. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext &pid=S0718-40262009000400011.

  16. Díaz RR, Dueñas R, Buitrago R, Canchila G, Poveda M. Ventilación mecánica en trauma de tórax severo: aspectos fisiopatológicos y nuevas perspectivas de manejo. Rev Colomb Neumol [revista en Internet]. 2011 [ cited 19 Abr 2012 ] ; 23 (1): [aprox. 10p]. Available from: http://www.asoneumocito.org/wp-content/upload s/2012/02/Vol.23.1.5_g.pdf.

  17. Mommsen P, Zeckey C, Andruszkow H, Weidemann J, Frömke C, Puljic P, et al. Comparison of different thoracic trauma scoring systems in regards to prediction of post-traumatic complications and outcome in blunt chest trauma. J Surg Res. 2012 ; 176 (1): 239-47.




2020     |     www.medigraphic.com