ĐẶC ĐIỂM LÂM SÀNG, CHỤP CẮT LỚP VI TÍNH LỒNG NGỰC VÀ KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG NGỰC KÍN Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To review of clinical characteristics, imaging of chest com puted tomography (CT) Scan and the results of treatment for blunt chest trauma in the elderly at 103 Military Hospital.

Patients and Methods: Retrospective observational study of 67 patients who were over 59 years old treated with blunt chest trauma in the Surgical Thoracic Department, 103 Military Hospital.

Results: The ratio of male and female was 3.78 : 1, the mean age was 67.9 years old. The main cause of injury was traffic accident (65.7%). The clinical symptoms were mainly chest pain (97%) and dysnea (58.2%). The percentage of rib fracture was 97%, haemothorax (40.3%), haemothorax-pneumathorax (14.9%), pneumothorax only accounted 9,0%, pulmonary conclusion (20.9%). Common comorbidities were hypertension (44.8%) and diabetes (23.9%). The main treatment method was conservative treatment (73.1%), the percentage of plural drainage was 26.9%. The mean drainage was 4.22 days and the mean hospital stay was 7.5 days, with the rate of within 5 days was 31.3.%.

Conclusion: Blunt chest trauma in the elderly is mostly treated conservatively or with drainage of the pleural cavity. However, the patients who are old, poor physical condition and get comorbidities, so hospital stay tends to be prolonged.