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263 persons with chest injuries were treated over a period of 16 years. 47 had performating chest injuries, in the remaining cases it was a blunt trauma. Prompt recognition of a life-endangering situation (cardiac tamponade, tension pneumothorax, mediastinal emphysema, massive haemothorax) is essential; radiological and laboratory diagnostic methods play a secondary role. The most effective emergency treatment is intercostal continuous suction; in many cases it is the only one needed. A haemothorax must be evacuated completely because of the risk of complications and fibrin formation. Thoracotomy is rarely, and surgical removal of lung tissue hardly ever, indicated. 30 persons needed emergency thoracotomy. Accompanying intraabdominal injuries, mostly rupture of the diaphragm and spleen, were observed in 45 patients. Late sequels were lung abscesses, posttraumatic cysts, pleural empyema and adhesions, atelectases. Decortication, if indicated, should be performed at an early stage.
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
April 1979,
Praxis und Klinik der Pneumologie,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
December 1982,
Vestnik khirurgii imeni I. I. Grekova,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
October 1980,
Klinicheskaia khirurgiia,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
April 1979,
Praxis und Klinik der Pneumologie,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
July 1981,
Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
February 1928,
California and western medicine,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
January 1982,
Kyobu geka. The Japanese journal of thoracic surgery,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
January 1963,
Zeitschrift fur arztliche Fortbildung,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
May 1951,
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen,
D Filler, and
K Schwemmle, and
K H Muhrer, and
D Kirndörfer
April 1979,
Praxis und Klinik der Pneumologie,
