Descriptive study of thoracic trauma cases in Kasr al-ainy hospital during the year (2012) : Retrospective Study / Howaida Saeed Mohammed ; Supervised Hala Saied Zaghloul , Amany Fahmy Hanoon , Khaled Abdelfattah Badr

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Forensic Medicine - Toxicology

The purpose of the present study is to assess the reported cases of chest trauma admitted at Kasr Al Ainy hospital for year 2012 and to analyze and identify the different parameters associated with the chest trauma victims from medicolegal point of view. Methodology: study is retrospective study of 283cases of thoracic trauma patients, during a period from 1st of January 2012 to 31st of December 2012 in Kasr Al Ainy Hospital. The records of all patients were reviewed and data were collected retrospectively. Management and follow up of the patients during hospitalization were evaluated. Results: Most of thoracic trauma occurred in Giza. The highest percent of cases were in their third and fourth decade of life (66%) from 20-40 and males represented (96.8%) with female /male ratio: (1/30.4).. Most of thoracic trauma cases were during the afternoon and early morning (8 p.m: 8 a.m.) (67.5%). Penetrating chest trauma was seen in 278 (98.2%) of the total number and the highest percent were stab injuries (72.5%). The associated traumas were seen in 30% and the highest percent were abdominal injuries in 37(13.1%) patients. Chest x-ray was performed to 233(82.3%) of patients and the main radiological findings were pneumothorax in 107 (37.8%) and haemothorax 86(30.4%). Conservative treatment in 69 (24.4%) patients and surgical treatment in 214 (75.6%) patients and tube thoracostomy was main line of treatment (53%). Hospital stay ranged from 1 day to 40 days and most of the patients 272(96.1%) discharged within the first 7 days of admission. The overall mortality were 20(7.1%) patients, All the 20 patients were males and the type of injury was penetrating in all

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