title: [Thoracic traumas and wounds in Libreville. Therapeutic aspects. Apropos of 106 cases].
abstract: 106 cases of trauma and chest wounds have been treated at the Jeanne Ebori Foundation from 1980 to 1990. They involved 90 men (85%) and 16 women (16%) with an average age of 35. The prevalent etiology was road accidents 55 (52%), followed by assaults 30 (28%). 22 blade wounds and 12 bullet wounds required coordinated surgical and intensive care at resuscitation. 19 pleuro-mediastinal spills, 8 intra-thoracic lesions with 6 vascular wounds and 1 heart wound. Surgical treatment required 13 immediate thoracotomies and in 3 cases with 1 associated laparotomy. We recorded 8 deaths (7%), 75 healings without consequences (71%) and 23 healings with consequences (22%). We noted the extreme gravity of the penetrating wounds especially bullet wounds, as well as that of the poly-traumatisms. This picture requires complex resuscitation management with surgical relays in a precarious respiratory context.
authors.affiliation: Service de Chirurgie Thoracique, Vasculaire et Viscérale, Fondation Jeanne Ebori, Libreville Gabon.
authors.forename: F
authors.initials: F
authors.lastname: Ondo N'Dong
authors.forename: E
authors.initials: E
authors.lastname: Rabibinongo
authors.forename: S
authors.initials: S
authors.lastname: Ngo'o Ze
authors.forename: J
authors.initials: J
authors.lastname: Bellamy
authors.forename: C
authors.initials: C
authors.lastname: Mambana
authors.forename: C
authors.initials: C
authors.lastname: Diane
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D004322:Drainage; D005260:Female; D005409:Flail Chest / Q000209:etiology* / Q000601:surgery; D005681:Gabon; D006801:Humans; D007442:Intubation, Intratracheal; D008171:Lung Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D010996:Pleural Effusion / Q000209:etiology* / Q000601:surgery; D012121:Respiration, Artificial; D012253:Rib Fractures / Q000209:etiology* / Q000601:surgery; D013898:Thoracic Injuries / Q000209:etiology* / Q000601:surgery; D014948:Wounds, Gunshot
vernacular_title: Les traumatismes et plaies thoraciques à Libreville. Aspects thérapeutiques. A propos de 106 cas.