From January 2002 to November 2003 in the Cardiovascular and Thoracic surgical department of Cho Ray hospital, 12 cases of bronchial rupture were operated. The causes of trauma were trafic accidents or working accidents. Male: 10 cases, female: 2 cases. Indications of thoracotomy were: persistence of massive pneumothorax, ineffective drainage, atelectasis, confirmation of bronchial lesions from flexible bronchoscopy before operation 10 cases, 2 other cases performed during operation (with different thoracotomy indications: massive hemopneumothorax: 1 case, large open thoracic wound because of falling: 1 case). Procedure: direct suture of bronchial rupture: 9 cases, main bronchus repair: 1 case, lobectomy: 2 cases. Complications were respiratory failure: 3 cases, pneumonia: 1 case. Death: 2 cases due to respiratory failure, pneumonia, empyema, septicemia
Rupture ; Emergencies ; Therapeutics ; Bronchial Diseases ; Wounds and Injuries

Background: According to WHO, there are 5 million deaths from kinds of injury a year in the world, of which 875000 deaths occur in children under 18 years old. Injury leads to 40000 deaths which account for 10.7% deaths due to all other causes a year in VietNam. Objective: To show conclusions of the situation of child injury, recommendations for prevention of child injury and methods in order to enhance emergency activity in Vietnam. Subjects and method: The authors collected information about all patients who had emergencies due to injury at Viet Duc hospital, from March 26th 2006 to Octorber 26th 2006. However, supervised cases were the patients under 18 years old who were examined and treated at the Department of Emergency. Results: During the period of study, 2536 patients under 18 years old were examined for injury, of which death and coming back home for death were 83 cases (3.27%). 974 children had emergency resulted from injury: male was more than female: 697 verus 227. The leading causes of child injury were fall and traffic accident, respetively 34% and 60%. The most common traumas were traumatic brain injury (45%), limbs injury (41%). Although most of cases had first aid at the hospitals in district or province level, the rate of non-first aid cases was high (34%). Conclusion: Child injury is a leading cause of child death in hospitals. Methods for prevention of child injury should focus on educating and propagandizing to minimize injuries caused by traffic accident and fall.
Wounds and Injuries ; Child