Risk factors of failed observational treatment of traumatic hemothorax / 中华胸心血管外科杂志

ABSTRACT

Objective@#To identify the risk factors of failed observational treatment of traumatic hemothorax.@*Methods@#Clinical data of traumatic hemothorax combined with observational treatment were selected from the data of chest trauma cases admitted to the thoracic surgery department from January 2012 to December 2018. The treatment effect was analyzed, and the risk factors of failed observational treatment were analyzed by multivariate analysis.@*Results@#The total failure rate of observational treatment was 59.26%(32/54), and the details of hemothorax volume, length of stay in hospital, pneumothorax and patients with more than 3 rib fractures in the failed conservative treatment group were more than those in the successful treatment group(P<0.05). Independent risk factors of failed observational treatment were more than 3 rib fractures(OR=5.535, 95%CI 1.065-28.754, P=0.042)and pneumothorax(OR=9.529, 95%CI 1.988-45.580, P=0.005).@*Conclusion@#Pneumothorax and more than 3 rib fractures are the independent risk factors of failed observational treatment, and should be included in the observational treatment decision of traumatic hemothorax.