[Thoracoscopy in the treatment of intrapleural bleeding due to injury of chest wall vessels].
Thoracoscopy was used in the treatment of 141 patients with penetrating wounds of chest. Injuries of chest wall vessels were diagnosed at 68 (48.2%) patients. Rate of thoracoscopy conversion due to bleeding from chest wall wounds was 4.3%. Thoracoscopy is effective at injuries of intercostals arteries and their muscular branches, but injuries of internal thoracic artery require conversion into thoracotomy at 50% cases. It is revealed that expediency of thoracoscopy is in direct proportion to time from injury point and is inversely to hemothorax volume.
Abakumov
M M
MM
Voskresenskiĭ
O V
OV
Zhestkov
K G
KG
D006470:Hemorrhage / Q000453:epidemiology* / Q000601:surgery*; D006491:Hemothorax / Q000209:etiology / Q000601:surgery; D006801:Humans; D010995:Pleural Diseases / Q000209:etiology* / Q000601:surgery*; D012720:Severity of Illness Index; D013898:Thoracic Injuries / Q000150:complications* / Q000503:physiopathology*; D035441:Thoracic Wall / Q000098:blood supply / Q000293:injuries / Q000601:surgery; D013906:Thoracoscopy / Q000379:methods*