EFFECTIVE PARTICIPATION THORACIC SURGEON IN THE TREATMENT OF PATIENTS WITH ISOLATED CHEST TRAUMA, COMPLICATED BY PNEUMMONIA AND HEMOTHORAX IN STANDBY SURGERY HOSPITAL

After the application treatments on 736 patients with isolated chest trauma complicated by pneumonia and hemothorax, aged from 15 to 92 the analysis has been done. A new method for remediation of the pleural cavity It allows to improve the results of conservative management of patients with stage, avoid complications and vain open and VATS operations. Using tools developed for drainage pleural cavities allows you to type quickly and efficiently pleural cavity drainage, reduce the wound channel and traumatic intervention. It is proved that the participation of the thoracic surgeon and the use of original treatments for which the RF received patents in patients with isolated chest trauma complicated by pneumonia and hemothorax, It allows to achieve adequate sanitation pleural cavity through the puncture needle 81% of victims, through pleural drainage - at 60.14%, while the number of thoracic surgery decreases till 2 13.05%, of which 48.86% - VATS operation involving thoracic surgeon, to avoid deaths, at 45.59% decrease the number of complications - posttraumatic pneumonia, pleurisy, long air vent for drainage, subcutaneous emphysema, festering wounds, acute empyema. Participation thoracic surgeon in the treatment of patients with isolated chest trauma, complicated by pneumonia and hemothorax in the standby surgical hospital city hospital allowed to achieve the following results: increase the relative benefit applied treatments (EPP) to 93.75%; increase the absolute the usefulness of treatments (PAP) to 45%; the number of patients, which needs to be treated to achieve the expected outcome (NNT) It amounted to 2.22; the number of complications in the treatment of victims decreased by 45.59%.

pneumothorax, hemothorax, City Clinical Hospital