Gunshot injuries of chest : analysis of 32 patients
DOI:
https://doi.org/10.54361/Keywords:
Penetrating thoracic trauma, tube thoracostomy, thoracotomyAbstract
Background: Penetrating injuries to the chest present a frequent and challenging problem. The majority of these injuries can be managed non-operatively. The selection of patients for operation or observation can be made by clinical examination and appropriate investigations. This study is conducted to present our experience in management of the chest gunshot during Libyan revolution and in a situation where the basic diagnostic tool (X-ray) was unavailable. Methods: we retrospectively reviewed 32 patients seen at our hospital over a 6-day period during revolution (16-21 Feb). The data evaluated and analysed. Results: The group comprised 32 male patients, with a mean age of 29 years (17-58). Of these patients,17 (53.2%) had left-sided, 15 (46.8%) had right-sided, 19(59.4%) had isolated chest injury and 13 (40.6%) patients had associated other injuries.. Thorcostomy tube was the only therapy required in 19 patients (59.4%), whereas 13 patients (40.6%) underwent thoracotomy and exploration. Mean hospitalization period for patients with thoracostomy tube was 6 days whereas median hospitalization duration in the exploration group was 9 days. Complications recorded in 2 cases. Conclusion: In this study we emphasize that in the situation where x-ray is not available , the clinical examination, pleural aspiration and the thoracostomy tube are the appropriate methods of managing penetrating chest injuries.
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Copyright (c) 2017 Mustafa Noman Sabet, Abdelkarim Bashir, Ahmad Faraj Hamad (Author)
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