Abstract
Link of Video Abstract: https://youtu.be/IgxLxMUB4Xk Background: 20–25% of trauma-related deaths are caused by thoracic injuries, which also contribute to 25–50% of patient deaths. An increasing number of critically injured but potentially salvageable patients are reporting to trauma centers as a result of the rising occurrence of penetrating chest injuries and the advancements in prehospital and perioperative care. Up to 80% of patients with penetrating chest injuries can be treated conservatively; in other situations, a sternotomy/thoracotomy (3%) or tube thoracostomy (18%) may be required. This case report aims to present a case of hemopneumothorax as a consequence of penetrating thoracic trauma. Case presentation: A 20-year-old male patient referred to Dr. Soetomo General Hospital a tertiary referral hospital massive hemopneumothorax dextra post water seal drainage to be underwent surgical resuscitation by open thoracotomy procedure then right internal mammary ligation and pericardial repair surgery. Patient’s condition steadily improved after the operation. Chest penetrating thoracic trauma caused by applying a mechanical force directly and abruptly to a focused location can cause penetrating injuries. By stretching and crushing tissue, a knife or projectile causes damage, which is often limited to the tissues in the route of penetration. The Patient with significant chest injuries needs to be managed with adequate analgesics and chest physiotherapy. Conclusion: Clear treatment algorithms and uniform assessment in chest penetrating trauma are essential for effective management. A substantial number of patients can be saved by conducting the primary survey and beginning with interventions that can save patient lives.
Published Version
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