Annalysis Of 255 Cases With Chest Trauma

Retrospectively evaluated patient with thoracic trauma who were hospitalized and treated at chest surgery clinic from january 2005-july 2009 A total of 255 patient(220 male-35 female mean age 38.2) with thoracic trauma were evaluated with respect to etiology¬ thoracic pathologies assosiated injuries and treatment methods. Blunt and penetrating thoracic injuries were found in 167 and 88 patients .Respectively the most common cause were traffic accidents (%78) and stab wounds, (%92) for blunt and penetrating thoracic injurıes.The most frequent thoracic pathologies were soft injurıes(%35) followed by pneumothorax(%24), multpl rib fractures ,(%21) hemopneumothorax(%20) and hemothorax(%17).Extrathoracic injurıes were seen in 60(%23.5) patients .The most common being cranial(%45) ,extremity injuries(%38) and abdominal (%18.3). Treatment was conservative 53 patient (%20.78) tube thoracostomy (n- 167 %67.49)diapragmatic repair or bleeding control with thoracotomy (n-35 %13.7). Mortality occured in 3 patients (%1.17) It is important that thoracic trauma patients with increased risk of mortality and morbidity should recieve immidiate and systematic treatment