[Emergency surgical indications in chest injuries]. 1988

V Bay
I. Chirurgischen Abteilung, Allgemeinen Krankenhauses Hamburg-Harburg.

Urgent surgical intervention is required by ten to twelve per cent of all patients with thorax injuries. The author's figures were 2.3 per cent of all his 5,518 patients or 16 per cent of the severe cases among them. Immediate surgical action has proved to be necessary to cope with massive bleeding, bronchus injuries, open pneumothorax, cardiac tamponade, aortic rupture as well as with injuries of the diaphragm and oesophagus. Prognoses are good in many cases, even with considerable loss of blood. Lethality figures, depending on age and accompanying injuries, were between ten and 15 per cent for blunt injuries or something between three and five per cent for penetrating injuries.

UI MeSH Term Description Entries
D011030 Pneumothorax An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL. Pneumothorax, Primary Spontaneous,Pressure Pneumothorax,Primary Spontaneous Pneumothorax,Spontaneous Pneumothorax,Tension Pneumothorax,Pneumothorax, Pressure,Pneumothorax, Spontaneous,Pneumothorax, Tension,Spontaneous Pneumothorax, Primary
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D001980 Bronchi The larger air passages of the lungs arising from the terminal bifurcation of the TRACHEA. They include the largest two primary bronchi which branch out into secondary bronchi, and tertiary bronchi which extend into BRONCHIOLES and PULMONARY ALVEOLI. Primary Bronchi,Primary Bronchus,Secondary Bronchi,Secondary Bronchus,Tertiary Bronchi,Tertiary Bronchus,Bronchi, Primary,Bronchi, Secondary,Bronchi, Tertiary,Bronchus,Bronchus, Primary,Bronchus, Secondary,Bronchus, Tertiary
D002305 Cardiac Tamponade Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse. Pericardial Tamponade,Cardiac Tamponades,Pericardial Tamponades,Tamponade, Cardiac,Tamponade, Pericardial,Tamponades, Cardiac,Tamponades, Pericardial
D004630 Emergencies Situations or conditions requiring immediate intervention to avoid serious adverse results. Emergency
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D006491 Hemothorax Hemorrhage within the pleural cavity.
D006549 Hernia, Diaphragmatic, Traumatic The type of DIAPHRAGMATIC HERNIA caused by TRAUMA or injury, usually to the ABDOMEN. Diaphragmatic Hernia, Traumatic,Diaphragmatic Hernias, Traumatic,Hernia, Traumatic Diaphragmatic,Hernias, Traumatic Diaphragmatic,Traumatic Diaphragmatic Hernia,Traumatic Diaphragmatic Hernias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001019 Aortic Rupture The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA. Aortic Aneurysm, Ruptured,Ruptured Aortic Aneurysm,Aneurysm, Ruptured Aortic,Aneurysms, Ruptured Aortic,Aortic Aneurysms, Ruptured,Aortic Ruptures,Rupture, Aortic,Ruptured Aortic Aneurysms,Ruptures, Aortic

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