RESULT OF TREATMENT FOR LUNG LACERATION AT VIET DUC HOSPITAL

Nguyễn Việt Anh1,2,, Nguyễn Văn Đại3, Đoàn Quốc Hưng1,2
1 Vietnam-Germany Friendship Hospital
2 Hanoi Medical University
3 Viet Tiep Hospital, Haiphong

Main Article Content

Abstract

Lung laceration is a rare but serious injury in blunt chest trauma. Diagnosis and treatment of lung laceration are not widely known, which easily leads to confusion and omission in clinical practice. This study aims to provide initial results in the treatment of lung laceration at Viet Duc university hospital. A cross-sectional descriptive study on 19 patients who were diagnosed with lung laceration and underwent surgical treatment, from January 2020 to October 2021. The average age of the patients participating in the study was 37.2 ± 13 years old, the male/female ratio = 2/1 with the main cause is traffic accidents accounting for 80% of the total. 19/19 patients were diagnosed are group 3 with lung laceration based on computed tomography. The patient received surgical treatment to repair lung damage with 42.1% wedge resection and 57.9% lobectomy. There were no postoperative complications, no postoperative mortality, the mean hospital stay was 11.2 ± 4.7 days. Conclusion: Surgical repair damage initially treated lung laceration gives positive results, safety, and few complications.

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References

1. Dogrul BN, Kiliccalan I, Asci ES, Peker SC. Blunt trauma related chest wall and pulmonary injuries: An overview. Chinese journal of traumatology = Zhonghua chuang shang za zhi. 2020;23(3):125-138.
2. Freixinet Gilart J, Hernández Rodríguez H, Martínez Vallina P, Moreno Balsalobre R, Rodríguez Suárez P. Guidelines for the diagnosis and treatment of thoracic traumatism. Archivos de bronconeumologia. 2011;47(1):41-49.
3. Oikonomou A, Prassopoulos P. CT imaging of blunt chest trauma. Insights into imaging. 2011;2(3):281-295.
4. Wagner RB, Crawford WO, Jr., Schimpf PP. Classification of parenchymal injuries of the lung. Radiology. 1988;167(1):77-82.
5. Chou YP, Kuo LC, Soo KM, et al. The role of repairing lung lacerations during video-assisted thoracoscopic surgery evacuations for retained haemothorax caused by blunt chest trauma. European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery. 2014;46(1):107-111.
6. Nishiumi N, Inokuchi S, Oiwa K, Masuda R, Iwazaki M, Inoue H. Diagnosis and treatment of deep pulmonary laceration with intrathoracic hemorrhage from blunt trauma. The Annals of thoracic surgery. 2010;89(1):232-238.