EVALUATION OF TREATMENT RESULT OF BLUNT CHEST TRAUMA WITH MULTIPLE RIB FRACTURES IN 103 MILITARY HOSPITAL

Đặng Công Hiếu, Vũ Anh Hải

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Abstract

Objectives: Research to evaluate clinical and subclinical symptoms, treatment results of patients with blunt chest trauma with multiple rib fractures. Subjects and methods: 73 patients with blunt chest trauma with fracture of at least 3 unilateral ribs from January 2018 to December 2020 at the Department of Thoracic Surgery, Military Hospital 103. Cross-sectional descriptive research. Results: 73 patients 57 men and 16 women, mean age 52.86; patients with 3 to 5 fractures, accounting for mainly (86.3%). VAS score at rest and when cough significantly decreased, Pa02 significantly increased after paravertebral thoracic block (P <0.05). The main surgical method is tube thoracostomy (85.3%), with 4 cases being treated with rib fixation surgery. The average hospital stay was 7.8 days. Conclusion: It is good results and safe to use paravertebral thoracic block for treatment of blunt chest trauma with multiple rib fractures.

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References

1. Caragounis E. C., Fagevik Olsen M., Pazooki D., et al. (2016), "Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study", World J Emerg Surg, 11, 27.
2. Eason MJ Wyatt R (1979), "Paravertebral thoracic block-a reappraisal ", Anaesthesia; 34: 638 - 642.
3. Ge Yeying1 Yuan Liyong1, Chen Yuebo1,, Zhang Yu1 Ye Guangao1, Ma Weihu2 and, Liujun2 Zhao (2017), "Thoracic paravertebral block versus intravenous patientcontrolled analgesia for pain treatment in patients with multiple rib fractures", Journal of International Medical Research 2017, Vol. 45(6) 2085–2091.
4. HULTM J. GILBERTand J. (1989), "Thoracic paravertebral block a method of pain", Acta Anaesthesiol Scand 1989: 33: 142-145.
5. Karmakar M. K., Critchley L. A., Ho A. M., et al. (2003), "Continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with multiple fractured ribs", Chest, 123(2), 424-31.
6. Lin Frank Cheau-Feng, Li Ruei-Yun, Tung Yung-Wei, et al. (2016), "Morbidity, mortality, associated injuries, and management of traumatic rib fractures", Journal of the Chinese Medical Association, 79(6), 329-334.
7. Moore2 Michelle Kim1 & James E. (2020), "Chest Trauma: Current Recommendations for Rib Fractures, Pneumothorax, and Other Injuries", Springer Science+Business Media, LLC, part of Springer Nature 2020.
8. Zhang J. P., Sun L., Li W. Q., et al. (2019), "Surgical treatment ofpatients with severe non-flail chest rib fractures", World J Clin Cases, 7(22), 3718-3727.