Risk factors of failed observational treatment of traumatic hemothorax
10.3760/cma.j.issn.1001-4497.2020.01.006
- VernacularTitle: 创伤性血胸观察治疗失败的危险因素分析
- Author:
Shaowei XIN
1
,
2
;
Tao WANG
1
;
Xiangbing XIN
1
;
Yong HAN
1
Author Information
1. Department of Thoracic Surgery, the Second Affiliated Hospital of the Air Force Military Medical University, Xi’an 710038, China
2. Department of Thoracic Surgery, the Joint Service Support Force 962 Hospital, Harbin 150000, China
- Publication Type:Clinical Trail
- Keywords:
Hemothorax;
Thoracic trauma;
Rib fracture
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors of failed observational treatment of traumatic hemothorax.
Methods:Clinical data of traumatic hemothorax combined with observational treatment were selected from the data of chest trauma cases admitted to the thoracic surgery department from January 2012 to December 2018. The treatment effect was analyzed, and the risk factors of failed observational treatment were analyzed by multivariate analysis.
Results:The total failure rate of observational treatment was 59.26%(32/54), and the details of hemothorax volume, length of stay in hospital, pneumothorax and patients with more than 3 rib fractures in the failed conservative treatment group were more than those in the successful treatment group(P<0.05). Independent risk factors of failed observational treatment were more than 3 rib fractures(OR=5.535, 95%CI: 1.065-28.754, P=0.042)and pneumothorax(OR=9.529, 95%CI: 1.988-45.580, P=0.005).
Conclusion:Pneumothorax and more than 3 rib fractures are the independent risk factors of failed observational treatment, and should be included in the observational treatment decision of traumatic hemothorax.
