The treatment results of chest injury, complicated by hemothorax with suppressed haemorrhage managed by active sanitation of pleural cavity

Abstract

After the application of pleural cavity active sanitation on 44 patients ranging in age from 15 to 86 with chest injuries, complicated by hemothorax with suppressed haemorrhage, the analysis has been done. Since 2010 the method of pleural cavity active sanitation through drainage tube, invented by the author (Patent RF method invention application № 2456935, 27.07.2012, Izmaylov E.P. et al.) has been used in conservative treatment. The essence of the method is fractional lavage of pleural cavity with physiological and/or novocaine solution carried out through Bulau drain, followed by broad-spectrum antibiotic done interpleurally. 4-5 days after the injury magnet therapy and/or calcium chloride electrophoresis should be done on the chest on the side of the injury 5 to 7 times. Depending on the type of conservative treatment all patients were divided into 2 groups. The test group consisted of 60 (57,7%) patients who were treated traditionally. 36 (60%) patients with concomitant chest injuries were included in this group. The main treatment group consisted of 44 (42,3%) patients, who had active sanitation of pleural cavity. 15 (34%) patients with concomitant chest injuries were among them. The patient groups were matched by condition, age, concomitant diseases and nature of injuries. 104 patients were with chest injuries, complicated by hemothorax with suppressed haemorrhage, 9 people died (8,6%). Active sanitation of pleural cavity for patients with chest injury, complicated by hemothorax with suppressed haemorrhage, has reduced the number of thoracotomies by 28,6% and the number of deaths by 3,2%.