The preoperative thoracic X-ray for tactical decisions for the thoracic injuries treatment

• Published in: Hirurgija (Moskva) no. 9; p. 15
• Main Authors: Voskresenskiĭ, O V, Beresneva, É A, Sharifullin, F A, Popova, I E, Abakumov, M M
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2011
• Subjects: Adult; Algorithms; Diagnostic Errors - prevention & control; Female; Hemopneumothorax - diagnosis; Hemopneumothorax - etiology; Hemopneumothorax - surgery; Hemothorax - diagnosis; Hemothorax - etiology; Hemothorax - surgery; Humans; Male; Pneumothorax - diagnosis; Pneumothorax - etiology; Pneumothorax - surgery; Preoperative Care - methods; Thoracic Injuries - complications; Thoracic Injuries - diagnosis; Thoracic Injuries - surgery; Thoracic Surgery, Video-Assisted - methods; Thoracotomy - methods; Thorax - pathology; Tomography, X-Ray Computed - methods; Wounds, Penetrating - complications; Wounds, Penetrating - diagnosis; Wounds, Penetrating - surgery
• ISSN: 0023-1207

Data of 379 patients with penetrating thoracic wounds were analyzed. The pathologic changes on X-ray of the thoracic cavity were registered 239 (63,1%) patients: the hemothorax was diagnosed in 44,3%, pneumothorax - in 26,8% and hemopneumothorax - in 28,9%. 154 patients had videothoracoscopic surgery and 225 patients were operated on using traditional open methods. Operative findings were compared with X-ray data. The sensitivity of plain chest radiography in diagnostics of hemothorax was 52,1%, the specificity - 92,1%. Mistakes of interpreting X-ray data in diagnosing of low-volume hemo- or pneumothorax were defined. The computed tomography of the thorax proved to be the most precise means of intrapleural injuries diagnostics. The optimal algorithm of preoperative thoracic X-ray was suggested.