• Khirurgiia · Jan 2011

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

    • O V Voskresenskiĭ, É A Beresneva, F A Sharifullin, I E Popova, and M M Abakumov.
    • Khirurgiia (Mosk). 2011 Jan 1(9):15-21.

    AbstractData 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.

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