[Mismanagement of chest trauma; sequels and the possibility of repair (author's transl)].
60 persons with a chest trauma were treated during the past years. In a number of cases the injuries and the resulting complications were of so serious a nature that their repair was attended by the greatest difficulties. The most serious and initially unrecognized complications comprised: 1) tracheo-bronchial defects, partly of traumatic origin and partly arising during intensive care; 2) failure to detect rupture of the diaphragm with displacement of visceral organs into the thoracic cavity; 3) insufficient evacuation of blood or fluid from the pleural cavity; 4) failure to diagnose irreparable damage to part of the lungs. Means to repair these lesions are reviewed; the necessity for long-term observation of these cases is emphasized.
D000328:Adult; D000368:Aged; D003422:Critical Care / Q000592:standards*; D003951:Diagnostic Errors; D004322:Drainage; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis; D006801:Humans; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000628:therapy; D013369:Subphrenic Abscess / Q000150:complications / Q000628:therapy; D013898:Thoracic Injuries / Q000628:therapy*; D014132:Trachea / Q000293:injuries; D014135:Tracheal Stenosis / Q000209:etiology
Thoraxtrauma: Fehler bei der Erstversorgung, Folgen und Korrekturmöglichkeiten.