KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG NGỰC KÍN ĐƠN THUẦN Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Background: Blunt chest trauma in the elderly often has adverse changes in body physiology, weakness, many chronic diseases, impaired immunity... This study aims to summarize and comment on the results of treatment of simple blunt chest trauma in the elderly at Viet Duc University Hospital. Methods: A retrospective cross-sectional descriptive study of elderly patients (aged 65 years and older) with blunt chest trauma alone treated at Viet Duc University Hospital in the period of 2020-2022. The data were recorded in the study medical record form for each patient and processed using SPSS 20.0 software. Results: There were 65 patients with 52 male patients (80%) and 13 female patients (20%), mean age was 71.04 years old; main causes of injury are traffic accidents (55.4%); The main clinical feature is chest pain (93.84%). Rib fracture accounted for 96.9% and mainly broken 3 ribs or more (74.6%), haemothorax (53.8%), haemothorax-pneumothorax (23.1%). pulmonary contusion (16.9%), pneumothorax only accounted for 6.1%. Common comorbidities were hypertension (21.5%) and type 2 diabetes (13.8%). The main treatment method is pleural drainage combined with medical treatment (72.3%); 100% of patients received respiratory therapy. The mean hospital stay was 8.75 days. Good treatment results accounted for 84.6%. Conclusion: Blunt chest trauma in the elderly is often accompanied by a number of conditions such as poor physical condition, osteoporosis, weakened immunity, many chronic diseases, difficulty in performing physiotherapy due to pain. Combination therapy is always recommended, hospital stay tends to be prolonged.