title: [Penetrating thoracic injuries--a 10 year analysis of 179 patients].
abstract: 179 patients with penetrating chest wall and thoracic injuries were treated at the University Hospital "Rudolf Virchow" in Berlin between 1982 and 1992. Most patients (72.4%) were successfully treated with closed tube thoracostomy alone. 33 (18.4%) patients required thoracotomy, 14 (7.8%) due to injury of the great vessels and 15 (8.3%) due to cardiac injuries. In 10 (5.5%) patients also abdominal organs were compromised, so that also a laparotomy had to be done. Seven (3.9%) patients died. All but one patients who died, died in the OR or within 24 h of admission. So lethality in the group of cardiac wounds was 44.6% (7 out of 15). This underlines the necessity of most rapid transport to the hospital in case of thoracic injury.
authors.affiliation: Klinikum Rudolf Virchow der Freien Universität Berlin, Unfallchirurgische Klinik.
authors.forename: C
authors.initials: C
authors.lastname: Schulz
authors.forename: N P
authors.initials: NP
authors.lastname: Südkamp
authors.forename: C
authors.initials: C
authors.lastname: Khodadadayan
authors.forename: N P
authors.initials: NP
authors.lastname: Haas
authors.forename: P
authors.initials: P
authors.lastname: Neuhaus
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015505:Chest Tubes; D005260:Female; D006335:Heart Injuries / Q000401:mortality / Q000601:surgery; D006801:Humans; D008168:Lung / Q000601:surgery; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery; D010994:Pleura / Q000293:injuries / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D013898:Thoracic Injuries / Q000401:mortality / Q000601:surgery*; D013907:Thoracostomy; D013908:Thoracotomy; D014950:Wounds, Penetrating / Q000401:mortality / Q000601:surgery*; D014951:Wounds, Stab / Q000401:mortality / Q000601:surgery
vernacular_title: Penetrierende Thoraxverletzungen--Eine 10-Jahres-Analyse über 179 Patienten.