title: [The preoperative thoracic X-ray for tactical decisions for the thoracic injuries treatment].
abstract: Data of 379 patients with penetrating thoracic wounds were analyzed. The pathologic changes on X-ray of the thoracic cavity were registered 239 (63,1%) patients: the hemothorax was diagnosed in 44,3%, pneumothorax - in 26,8% and hemopneumothorax - in 28,9%. 154 patients had videothoracoscopic surgery and 225 patients were operated on using traditional open methods. Operative findings were compared with X-ray data. The sensitivity of plain chest radiography in diagnostics of hemothorax was 52,1%, the specificity - 92,1%. Mistakes of interpreting X-ray data in diagnosing of low-volume hemo- or pneumothorax were defined. The computed tomography of the thorax proved to be the most precise means of intrapleural injuries diagnostics. The optimal algorithm of preoperative thoracic X-ray was suggested.
authors.forename: O V
authors.initials: OV
authors.lastname: Voskresenskiĭ
authors.forename: É A
authors.initials: ÉA
authors.lastname: Beresneva
authors.forename: F A
authors.initials: FA
authors.lastname: Sharifullin
authors.forename: I E
authors.initials: IE
authors.lastname: Popova
authors.forename: M M
authors.initials: MM
authors.lastname: Abakumov
mesh_terms: D000328:Adult; D000465:Algorithms; D003951:Diagnostic Errors / Q000517:prevention & control; D005260:Female; D006468:Hemopneumothorax / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006491:Hemothorax / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011300:Preoperative Care / Q000379:methods*; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D013908:Thoracotomy / Q000379:methods; D013909:Thorax / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery