ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG NGỰC KÍN TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Blunt chest trauma is a common cause of death in trauma patients and can cause serious consequences. There are various kinds of lesions in blunt chest trauma which are diagnosed based on the mechanism, clinical, laboratory and imaging features of the injuries. Emergency first aid is essential. Conservative treatment and pleural drainage are the most common treatments.

Objectives: Clinical, araclinical characteristics and treatment outcomes of blunt chest trauma patients at Can Tho City General Hospital.

Materials and methods: A pretrospective descriptive study of 71 patients with blunt chest trauma at Can Tho General Hospital from April 2023 to June 2024.

Results: Mean age: 52.6 ± 12, 77.5% of cases were male. The main reason is due to traffic accidents (71.8%). The majority of chest trauma patients had chest pain (100%). Rib fracture was the most common injury (93.0%), followed by lung and pleural injuries (71.8%), the proportion of hemothorax, pulmonary contusion, hemopneumothorax and pneumothorax are 33.8%, 15.5%, 7.0% and 15.5% respectively. 70/71 patients were well treated and discharged, accounting for 98.6% with a median hospital stay of 7 days.

Conclusion: Blunt chest trauma is most commonly caused by traffic accidents, with males accounting for the majority, and the 41-60 age group being the most frequently affected. Chest pain is the primary symptom, while rib fractures are the most common injury. Multiple rib fractures increase the risk of pleuropulmonary injuries and prolong hospital stay. The rate of successful treatment outcomes is high.