إن الهدف الرئيس من هذه الدراسة هو تسليط الضوء و تحليل الأذيات الصدرية المختلفة أثناء النزاعات العسكرية.
تمت دراسة و تحليل الملفات السريرية لـ (542) إصابة بأذيات صدرية أثناء فترة البحث.
91.9% من المرضى كانوا ذكوراً، تراوحت أعمار المصابين بين (3 – 75) عاماً، 88.1% منهم كانوا في الأعمار بين (20 – 40) عاماً.
71 إصابة إسعافية شديدة (13%) أدخلت مباشرة إلى غرفة العمليات، أما العدد الباقي من المرضى فقد أجريت لهم استقصاءات تشخيصية مختلفة، لعب التصوير الطبقي المحوري دوراً هاماً في تشخيص الأذيات الصدرية و قد أجري في 62.2% من الإصابات.
92.8% من المرضى تعرضوا لأذيات صدر نافذة بسبب الطلق الناري مع أو بدون الشظايا و الصواريخ. من بين الأذيات الحاصلة كان تكدم الرئة هو الغالب بنسبة 31.9% تلاه تدمي و استرواح الجنب بنسبة 29.15%، تمزق الرئة 14.39%
77 حالة (13.2%) من الجرحى أصيبوا بكسور أضلاع، 3 منهم (3.89%) شخص لديهم صدر سائب. تمزقات الحجاب حدثت لدى 6.45% من الجرحى ، الأذيات المشتركة شخصت لدى 61.07% من الحالات ، أغلبها 46.2% كانت أذيات في البطن ، 39.27% كانت أذيات رأس و عنق.
The main aim of this study is to highlight and analyze the different thoracic injuries
during the military conflicts. Medical records of 542 casualties with thoracic injuries were
analyzed during study period.
91.9% of the patients were male. The ages were ranging between 3 – 75 years،
88.1% of them were in the age between 20 – 40 years.
71 top urgent casualties (13%) were directly admitted to op-theater، the remaining
patients underwent different diagnostic procedures، CT-scan played an important role in
the diagnosis of thoracic injuries and was performed in 62.2% of the casualties. 92.8% of
the patients sustained penetrating chest injuries due to gunshots and / or missiles and
shells. Of the injuries identified، the most prevalent injury was lung contusion، which
occurred in 31.9% of casualties، traumatic haemo-and/or pneumothorax occurred in
29.15%، lung laceration in 14.39%، diaphragm injury in 6.45%. 77 patients (13.2%)
sustained ribs fractures، 3 patients (3.89%) of them had a diagnosed flail chest injury.
Combined injuries were reported to be 61.07% of all casualties.
Most of them 46.2% were abdominal injuries، 39.27% were head and neck injuries.
References used
SERDARONAT, RETILE ULKU, et al: Urgent thoracotomy for penetrating chest trauma, Analysis of 158 patients in single center, Injury 2010. 2 – 4
WERNER, G. Thoraxverletzungen: Diagnose, Beurteilung und Behendlung. 1st ed, springer verlag, Berlin Heidelberg New York, 1979, 11
ZAKHARIA, AT: Thoracic battles injuries in the Lebanon war. Review of the early operative approach in 1.992 pts. Ann thorac surg. 1985 Sep. 40 (3): 209 – 13
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