Delayed massive hemothorax requiring surgery after blunt thoracic trauma over a 5-year period: complicating rib fracture with sharp edge associated with diaphragm injury
Clinical and Experimental Emergency Medicine
;
(4): 60-65, 2018.
Article
in English
| WPRIM
| ID: wpr-713075
ABSTRACT
Delayed massive hemothorax requiring surgery is relatively uncommon and can potentially be life-threatening. Here, we aimed to describe the nature and cause of delayed massive hemothorax requiring immediate surgery. Over 5 years, 1,278 consecutive patients were admitted after blunt trauma. Delayed hemothorax is defined as presenting with a follow-up chest radiograph and computed tomography showing blunting or effusion. A massive hemothorax is defined as blood drainage >1,500 mL after closed thoracostomy and continuous bleeding at 200 mL/hr for at least four hours. Five patients were identified all requiring emergency surgery. Delayed massive hemothorax presented 63.6±21.3 hours after blunt chest trauma. All patients had superficial diaphragmatic lacerations caused by the sharp edge of a broken rib. The mean preoperative chest tube drainage was 3,126±463 mL. We emphasize the high-risk of massive hemothorax in patients who have a broken rib with sharp edges.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rib Fractures
/
Ribs
/
Thoracic Injuries
/
Thorax
/
Diaphragm
/
Thoracostomy
/
Radiography, Thoracic
/
Chest Tubes
/
Drainage
/
Follow-Up Studies
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Clinical and Experimental Emergency Medicine
Year:
2018
Type:
Article
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