Cardiothoracic Surgery |

The Incidence of Pulmonary Contusion in Blunt Thoracic Trauma: Self-Experience Study FREE TO VIEW

Ivan Novakov, PhD
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Medical University, Plovdiv, Bulgaria

Chest. 2014;145(3_MeetingAbstracts):47A. doi:10.1378/chest.1822813
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SESSION TITLE: Thoracic Surgery Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: The aim of this study was to establish the incidence of pulmonary contusion, using our database.

METHODS: We reviewed the hospital records of 212 patients with blunt chest trauma with rib fractures - 72 (33,96 %) with fractures of one or two ribs and 140 (66,04 %) with multiple fractured ribs. Chest radiography, thoracic computed tomography and autopsy were used to determine the pulmonary contusion.

RESULTS: Pulmonary contusion was established in 139 of patients (65,56%): 15 (20,83) cases with one or two fractured ribs and 124 (88,57 %) of cases with multiple fractured ribs. Bilateral pulmonary contusion was established in 26 (12,26 %) patients - all of them with bilateral fractured ribs. The severity of pulmonary contusion was determined as: mild - 41 (29,49 %) cases;, moderate - 22 (15,02 %); severe - 65 (46,76 %); very severe - 11 (7,91 %). Other thoracic injuries, associated with pulmonary contusion were established: hemothorax - in 36 (25,89 %) patients; pneumothorax - 33 (23,74 %); hemopneumothorax - 24 (17,27); lung lacerations - in 3 (2,16 %) patients; sternal fractures - 6 (4,32 %); clavicular fractures - 11 (7,91 %) and scapular fractures - 5 (3,59 %) patients.

CONCLUSIONS: We present the cases of pulmonary contusion in blunt chest trauma, all of them associated with other thoracic injuries. According to our data, pulmonary contusion is the second most common thoracic injury, after rib fractures.

CLINICAL IMPLICATIONS: The incidence and the severity of pulmonary contusion in blunt thoracic trauma correlate with the number of fractured ribs.

DISCLOSURE: The following authors have nothing to disclose: Ivan Novakov

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