title: [Septic complications of penetrating thoracic injuries].
abstract: 224 cases of septic complications after penetrating thoracic injuries were analyzed. Pleura empyem was observed in 105 of 7572 patients (overall number of the injured), lung abscess - in 22 cases, pericarditis was diagnosed in 108 patients, costal and sternal osteomyelitis - in 26 and mediastinitis - in 21 patients. Overall frequency of septic complication was 2,96%. Main reasons of septic complications were: massive blood loss, initial contamination, thoracotomy through the initially infected wound, long -lasting and coagulated hemothorax and late diagnosis and hospitalization. Staphylococcus aureus was the most frequent microbe detected - 29,4%. Lethality rate was 9,8% (22 patients). Adequate drainage of the wound allowed rehabilitation of the majority of patients. Cases with costal osteomyelitis required major surgical dissection in 73,1%.
authors.forename: Sh N
authors.initials: ShN
authors.lastname: Danielian
authors.forename: M M
authors.initials: MM
authors.lastname: Abakumov
authors.forename: O V
authors.initials: OV
authors.lastname: Voskresenskiĭ
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Radchenko
authors.forename: T V
authors.initials: TV
authors.lastname: Chernen'kaia
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002481:Cellulitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D016724:Empyema, Pleural / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D008169:Lung Abscess / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D018805:Sepsis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013898:Thoracic Injuries / Q000150:complications*; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000150:complications*; D055815:Young Adult