Low Invasive Approaches at Treatment of Patients with Severe Concomitant Injury and Dominant Chest Injury

For the purpose of increasing the efficacy of complex treatment of 72 patients (main group) with severe concomitant injury and dominant chest injury low invasive treatment, i.e. local differential fibrinolytic therapy, valvural bronchoblocking, videothoracoscopy was applied. One hundred twelve patients (comparative group) were under traditional treatment (blind drainage of pleural cavities, thoracotomy, etc). Unilateral thoracic injuries were detected in 165 (89.7%) patients, bilateral — in 19 (10.3%). In 141 (76.6%) patient chest injuries were accompanied by subcutaneous and intercondylar emphysema. Elaborated treatment and diagnostic tactics as well as differentiated approach to the use of low invasive techniques enabled to increase the number of recovered patients — 61 versus 54 patients from comparative group (p<0,05) and to reduce the rate of chronical process development — 9.7% versus 24.1%, respectively (p<0,05).

concomitant injury, hemothorax, pneumothorax, pulmonopleural fistula, streptokinase