Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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Up to 50% deaths due to fatal injuries result from thoracic injuries. Approximately 10-15 % of the injuries require thoracotomy. ⋯ The aim of urgent surgical interventions is to manage the major bleeding source (heart or large vascular injury), lungs, air leakage (tracheal or bronchial injuries) and diaphragmatic injuries. Irreversible hypovolemic shock in penetrating thoracic injuries and serious related injuries in blunt traumas resulted in peroperative and postoperative mortality.
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Chylothorax is a rare disorder, predominantly of traumatic (iatrogenic) or tumorous aetiology. Its symptomatology complies with other types of fluidothorax. ⋯ The authors present a literature overview and their own case-review of chylothorax resulting from the suprarenal aortic aneurysm surgery. The conservative management failed and the complication in the 75-year old patient was managed using pleuroabrasion and talk pleurodesis.