KẾT QUẢ PHẪU THUẬT XỬ TRÍ VẾT THƯƠNG THẤU NGỰC TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: Evaluate the results of thoracotomy for Penetrating Chest Trauma at Military Hospital 103. Subjects and methods: A retrospective and statistical study describing a series of cases of thoracic impalement injuries treated at the Department of Thoracic Surgery – Military Hospital 103 from November 2017 to December 2023. Results: We recorded 31 cases of thoracic impalement injuries, including 29 males and 2 females. The average age of the study group was 34.9 years, with the youngest being 15 years. The cause of thoracic impalement injuries was mainly knife stabbing in the chest accounting for 23 cases (74.2%), only 01 case had mental illness leading to suicide. The majority of patients admitted to the hospital were haemodynamically stable, with only 4 patients (12.9%) had severe blood loss requiring vasopressors. The patients with thoracic impalement injuries were mainly the 8th costal cavity accounting for 25.8%, the anterior chest wall 41.9%, and the left thoracic 74.2%. Thoracic impalement injuries patients had 54.8% lung parenchymal lesions, 3 cases (9.7%) intercostal artery lesions, 7 cases (22.6%) diaphragmatic lesions, 5 cases combined abdominal lesions, 5 cases combined abdominal lesions accounting for 16.1%. There were 2 cases of heart injury (ventricular muscle tear) treated through the chest opening. The average amount of blood lost during surgery is 559ml, in the case of the most blood loss is 4000ml. The median length of hospital stay was 9.9 days, with a maximum of 40 days. Conclude: Thoracotomy is the standard method of treating thoracic impalement injuries due to its safety and good control of lesions in the chest.