[Shock score and surgical tactics for thoracic injury treatment].
Results of surgical treatment of 216 patients with thoracic injuries were retrospectively analyzed. 111 (51,4%) were operated on with the use of open technologies, whereas the rest 105 (48,6%) patients were treated with the use of videothoracoscopy. Patients were divided into 2 groups according to the shock score value. Was demonstrated, that videothoracoscopic operation was reasonable by shock score value less then 1,5. In patients with the shock score value more then 1,5, open surgery was more appropriate. Success of videothoracoscopic injury repair is stipulated also by detailed preoperative diagnostics, detecting the extent of the injury of the thorax and wounds of other regions, requiring urgent treatment.
Voskresenskiĭ
O V
OV
Abakumov
M M
MM
Radchenko
Iu A
IuA
D000328:Adult; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D012774:Shock, Traumatic / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D016896:Treatment Outcome