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Makale Özeti:
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Background. Among the complications of blunt thoracic trauma, hemothorax is
the most common and serious problem of modern thoracic surgery. The frequency of this
complication according to some authors, varies from 26% to 80% and is not connnected with
nature of the trauma and patient's age.
804 patients with the chest injuries treated between 2006 and 2012 at the 2nd clinic
Tashkent Medical Academy. 179 of patients had penetrating stab wounds, and 625 - blunt. The
clotted hemothorax was diagnosed at 103 patients.
For all the patients with clotted hemotorax we performed videothoracoscopy. All the
operations were ended with thoracostomy. Intraoperative complications were not observed.
Postoperative complications were observed in 10 (10.2%) patients. In one case developed
empyema, and in 9 - limited pleurisy.
Inclusion of the videothoracoscopy into the complex diagnostic and treatment algorithm for
the patients with chest injuries allows not only to confirm the presence of the CH, but to eliminate
it highly effectively and with minimal invasion, avoiding thoracotomy.
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