Evaluation of Complications and Treatment Results of Chest Trauma with Lung and Pleural Damage in the Wounded Referred to Baqiyatallah Hospital in 2015 and 2016

Chest trauma is a major threat to human life and disability for war wounded. A high percentage of war-wounded are associated with chest trauma, lung and pleural damage. The purpose of this study was to evaluate complications and treatment results of chest trauma with lung and pleural damage in the wounded referred to Baqiyatallah hospital in Tehran.

In this cross-sectional study, during 2015 and 2016, 154 war-wounded patients were transferred to Baqiyatallah Hospital in Tehran with diagnosis of lung damage. They were selected using the census sampling method. After obtaining informed consent, collection of demographic questionnaire information, wound formation factor, the time from wound formation to initial repair and treatment measures before and after transfer were done in two stages. Data were analyzed by SPSS-24 software using Chi-square test.

In this study, the total number of people was male. Their mean age was 28.16 ± 8.69 years. The most common complications of chest trauma with the diagnosis of lung and pleural damage, Hemothorax was 16 (10.4%) patients. The most common cause of trauma between the injured, the fragments were 79 (51.2%). In the evaluation of medical measures on all injured before transfer, 22 (26.19%) patients required re-implantation of a chest tube and 2 patients (2.3%) thoracotomy, while in post-transfer treatment measures, 3 (5.26%) patients required re-implantation of a chest tube and 5 (8.77%) patients VATS in Baqiyatallah Medical Center. There was significant relationship between the time of removal of the chest tube required re-implantation of a chest tube.

The most common complication of chest trauma with the diagnosis of lung and pleural damage was Hemothorax. The wounds that came out of the chest tube after the transfer had better treatment It is necessary for the military medicine officials to pay attention to the management and appropriate measures in order to improve the medical care of war wounds and the proper repair and reduction of the complications of patients’ trauma and training in chest tube implantation skills for all medical staff in military centers.