Linked Life Data

2402725

Source:http://linkedlifedata.com/resource/pubmed/id/2402725

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1990-10-24
pubmed:abstractText
A prospective study was conducted on 102 patients (84 male), with a median age of 27 years, who had sustained a penetrating chest wound to evaluate the ability of physical examination in comparison with chest radiography to determine management of these injuries. Knife wounds accounted for 92% of the injuries. Fifty three patients had a small collection of air or fluid in their pleural cavity that was not drained. Fifty six hemithoraces had a large collection of fluid or air and were treated by tube thoracostomy. Physical examination at presentation detected large collections of air and fluid correctly and predicted appropriate management (sensitivity 96%, specificity 94%). Residual collections of air or fluid or both were also predicted correctly by clinical examination. Seven small collections increased in size and required intubation. Routine pre-extubation radiographs were found to be of little value in management and their routine use is not recommended. Four patients required late thoracotomy for decortication. By using a policy of selective intubation, frequent clinical reassessment, and chest radiography when relevant, experienced trauma surgeons can manage most penetrating pleural injuries with an acceptably low complication rate.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-1002277, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-2929860, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-3967911, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-3990322, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-6180518, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-6495248, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-6620435, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-7064067, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-7077687, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-7457693, http://linkedlifedata.com/resource/pubmed/commentcorrection/2402725-994269
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0040-6376
pubmed:author
pubmed:issnType
Print
pubmed:volume
45
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
616-9
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Prospective study of the yield of physical examination compared with chest radiography in penetrating thoracic trauma.
pubmed:affiliation
Department of Surgery, Natal University Medical School, South Africa.
pubmed:publicationType
Journal Article, Comparative Study