Tracheotomy in major chest injuries.

نویسنده

  • S A GUEUKDJIAN
چکیده

Thoracic injuries, in particular fractures of the ribs, are very common industrial accidents. Most often these are of a mild nature and can be effectively treated in the works first-aid room or in casualty departments. Major crush injuries of the chest may seriously endanger life on account of involvement of the respiratory mechanism. Such accidents also present an urgent surgical problem; opinion is divided on the best method of treatment. In severe injuries of the " stove-in" type involving fractures of several ribs anteriorly and posteriorly, the mortality rate is very high, seven out of eight cases, according to the Birmingham Accident Hospital statistics for 1944-52 (Proctor and London, 1955). Some time ago (Coroner's Reports, 1954) we lost a case of " steering wheel " injury of the thorax, and this in spite of every known method of treatment. Recently, however, in a patient suffering from severe thoracic fractures and respiratory embarrassment, emergency tracheotomy was performed and the patient's life was saved. The following case is therefore recorded.

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عنوان ژورنال:
  • British journal of industrial medicine

دوره 14 3  شماره 

صفحات  -

تاریخ انتشار 1957