Ansar Latif, Zafar Ali Choudry, Javaria Ghaffar, Faisal Shabbir, Asif Sajjad.
Management of Chest Trauma in Allama Iqbal Memorial Teaching Hospital, Sialkot.
Pak J Med Health Sci Jan ;12(2):643-4.

Aim: To determine the nature and progress of the patients with chest trauma presenting to general surgeon in emergency setting at Allama Iqbal Memorial Teaching hospital, Sialkot. Study Design: Prospective study. Place & duration of study: Department of General Surgery, Khawaja Muhammad Safdar Medical College, Sialkot from January 2015 to January 2018. Methods: All patients serially presented in the surgery Department of Allama Iqbal Memorial hospital fulfilling the inclusion criteria are registered. The patients are divided in two groups: Group I (CT- P, chest trauma penetrating) patients having penetrating injuries to chest Group II ( CT- B ) Blunt Trauma to chest. Minimum of three months of follow up is must for inclusion in the study. Injury to head and neck, chest and limbs are excluded as these are managed by therespective departments. Females having history of gestational amenorrhea are not included . Results: Total number of people in our study are 204 with mean age ranging from 4-72 years having male to female ratio 3.25:1 in which % of injuries cause by firearm is 15.6%,by RTA’s is 48.5%,violence with sharp weapons is 13.2% firearm injuries is 22.5% from penetrating trauma is 28.9% and from blunt trauma is 71.07% . So we made diagnosis that 86.4% people develop pneumothorax, 20.3% hemothorax, 33,8% hemopnumothorax, 72.8% develop multiple rib fracture, 7.3% lung contusion, 3.3% major vascular injury,18.6% subcutaneous emphysema caused by penetrating trauma to chest. Blunt trauma result in 100% pneumothorax, 6.2% hemothorax, 2% hemopnumothorax, 96.5% multiple rib fracture, 0.6% lung contusion major vascular injury 18.6%subcutaneous emphysema. Conclusion: Majority of patients with trauma are managed successfully by chest intubation or thoracostomy alone. Thoracotomy for trauma in emergency is rarely performed and has excellent prognosis. There is very less mortality while the incidence of complications in patients with blunt trauma to chest is encountered more than in cases of penetrating trauma chest.

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