Flail chest – weighty complications of conservative therapy (internal pneumatic stabilization)

Česká verzia

Authors: Václav Šimánek; Vladislav Třeška; Eduard Kasal ^*; Vladimír Špidlen; Jiří Klečka; Josef Vodička; Jarmil Šafránek; Pavel Altmann ^*
Authors place of work: Department of Surgery, University Hospital Pilsen ; Klinika anesteziologie a resuscitace FN Plzeň ^*; Department of Anaesthesiology and Resuscitation, University Hospital Pilsen Chirurgická klinika FN Plzeň ^*
Published in the journal: Úraz chir. 15., 2007, č.3

Summary

Aim:
Compare complications of conservative therapy (internal pneumatic fixation) of unstable fractures of ribs.

Material and methods:
The statitistical analysis of duration of lung ventilation, length of ICU stay, overal hospital stay and complication of treatment was performed.

Results:
Were enrolled thirty patients (26 men and 4 women) in studying group. The average age was 46.7 years. The average value of trauma score ISS in the group was 29. Duration of lung ventilation was 18,2 days. The length of stay in the ICU was 24,4 days. The overal hospital stay was 27,7 days. In the group were registered important complications (bronchopneumonia, pneumotorax, multiple organ failure, respiration insufficiency. In the group appeared 12 deaths.

Conclusion:
The bronchopneumony was registered as most important complication and influence with exitus of patients.

Key words:
unstable fractures of ribs, internal pneumatic fixation, complications.

Zdroje

1. AHMED, Z., MOHYUDDIN, Z. Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation. J Thorac Cardiovasc Surg. 1995, 110(6), 1676–1680.

2. ATHANASSIADI, K. et al. Management of 150 flail chest injuries: analysis of risk factors affecting outcome. Eur J Cardiothorac Surg. 2004, 26(4), 373–376.

3. ATHANASSIADI, K., GERAZOUNIS, M., MOU-STARDAS, M., Sternal fractures: retrospective analysis of 100 cases. World J Surg. 2002, 26(10), 1243–1246.

4. GUNDUZ, M., UNLUGENC, H., OZALEVLI, M. et al. A comparative study of continuous positive airway pressure (CPAP) and intermittent positive pressure ventilation (IPPV) in patient with flail chest. Emerg Med J. 2005, 22, 325–329.

5. LUKÁČ L. Operačná liečba instabilného hrudníka. Dizertační práce, UPJŠ Košice, 2003, 89 s.

6. LUKÁČ, L., PLEVA, L., JAHODA, J., MAYZLÍK, M., Nestabilní hrudník a jeho terapie, Úraz Chir. 1997, 5, 1–5.

7. MAŇÁK, P. DRÁČ, P., BLAHUT, L. Nepenetrující poranění hrudníku. Rozhl Chir. 2001, 80, 268–272.

8. PEARSON, FG., COOPER, JD., DESLAURIERS, J. Thoracic surgery. Churchill: Livingstone, 2002. 1832–1899.

9. POKORNÝ V. a kol. Traumatologie. Praha: Triton, 2002. 19–21.

10. SIRMALI, M., TURUT, H. et al. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg. 2003, 24, 133–138.

11. TANAKA, H., TAJIMI, K., ENDOH, Y. et al. Pneumatic stabilization for flail chest: an 11-years study. Surg Today. 2001, 31, 12–17.

12. TANAKA, H., ZUKIOKA, T., YAMAGUTI, Y. et al. Surgical stabilization or internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002, 52, 727–732.

13. TRINKLE, J.K., RICHARDSON, J.D., FRANZ, J.L. Management of flail chest without mechanical ventilation. Ann Thoracic Surgery. 1975, 19, 355–363.

Štítky

Surgery Traumatology Trauma surgery

Článek Retrograde nailing of the distal femoral periprosthetic fractures using DFN

Článek NECROSIS OSSIS LUNATI – TREATMENT ACCORDING TO OPERATION SEC SAFFAR

Článok vyšiel v časopise

Trauma Surgery

2007 Číslo 3

Najčítanejšie tento týždeň

Najčítanejšie v tomto čísle