P-255CLINICAL APPROACH TO PNEUMOMEDIASTINUM AFTER BLUNT CHEST TRAUMA
Makaleler > Tam Makale · 2016
Yazarlar: Ö. Kavurmacı, Ali ÖZDİL, Tevfik İlker AKÇAM, Ayşe Gül ERGÖNÜL, K. Turhan, Alpaslan ÇAKAN, U. Çagirici
Interactive CardioVascular and Thoracic Surgery, Uluslararası, Wos, 2016, cilt 23, ss i67.4-i68
Özet
Objectives: Pneumomediastinum (PM) can be observed after blunt and penetrating chest trauma or it can be seen either spontaneously or due to iatrogenic causes. We aimed to evaluate the cases with PM on thorax computed tomography (CT) after blunt chest trauma (BCT). Methods: The records of 93 patients who were hospitalized with the diagnosis of PM between January 2000 and December 2014 were analyzed retrospectively. Pneumomediastinum was verified with thorax CT in all patients. Twenty-four patients were excluded for different causes (penetrating trauma, iatrogenic, spontaneous) of PM. We evaluated the data of 69 patients (59 males, 10 females) with the diagnosis of PM secondary to BCT and who were observed without any further procedure for the cause of PM, retrospectively. Results: The mean age of the patients was 47.60 ± 17.47 years (range 16 to 80 years). The type of BCT was traffic accident in 38 (55.06%), fall from height in 25 (36.24%), compression in 3 (4.35%) and drub in 3 (4.35%) patients. The mean duration of chest tube drainage which were performed for accompanying pathologies like pneumothorax and haemothorax was 12.46 ± 6.42 days (range 6 to 28 days). The mean hospital stay was 9.12 ± 7.02 days (range 6 to 28 days). All of the hospital records of the patients were analyzed in terms of complication and any complication was not determined for the short- and long-term follow-up. Conclusion: Further invasive procedures are frequently needed for the determination of etiological factors of PM like tracheobronchial and oesophageal rupture. In this study we observed 69 PM patients in good general status and no need for intensive care management. As a result we concluded that conservative treatment without any invasive procedure is a sufficient method for PM patients with an uneventful clinical course. Disclosure: No significant relationships.