ANALYTICAL STUDY OF COMPLICATION IN CHEST TRAUMA PATIENTS IN TIRUNELVELI MEDICAL COLLEGE HOSPITAL

Dr.Marwin Manoah Baylis; Dr.Arul Vijayakumar

Volume : IX, Issue : III, March - 2019

ANALYTICAL STUDY OF COMPLICATION IN CHEST TRAUMA PATIENTS IN TIRUNELVELI MEDICAL COLLEGE HOSPITAL

Dr. Marwin Manoah Baylis, Dr. Arul Vijayakumar

Abstract :

Chest Injury Patients With Haemothorax, Haemo–Pneumothorax are treated by intercostal Drainage Procedure. Patients morbidity, mortality and complete recovery depends on various factors which has to be analyzed and sorted for correct and effective management AIM : Study of factors that influence the recovery of chest trauma patientsIII. METHODS :Evaluation and follow up of 100 patients, with chest trauma in tirunelveli Medical College Hospital, Cardiothoracic Surgery Department during the year 2018.DIAGNOSING MODALITIES:X–Ray chest, CT–Chest Plain/contrast, Routine blood CBC evaluation, RFT, Screening for diabetes. RESULTS(i)Younger the Patients more less the morbidity and mortality(ii) Complication like pyothorax is more common in diabetic patients with chest trauma.(iii). Early intervention of patient with haemothorax by intercostal drainage lead to complete recovery(iv) Late diagnosis and Treatment leads to complication like clotted haemothorax, Pyothorax, leading to surgical intervention. DISCUSSION(i) patients with positive mental attitude under good counselling do well.(ii) Diabetes to be treated and early intervention by intercostal drainage in case of heamothorax or haemo pneumothorax is essential for good recovery of the patient(ii) Chest physiotherapy using sypirometry is a mainstay where patients recover quickly and reduce their stay period in the hospital(iv) surgery is done only in selected few patients eg(a)Emergency thoracotomy was done for seviere bleeding inside thorax due to tear of intercostal vessel – one patients(b)Elective thoracotomy done for patient 7 Patients who had complication like clotted heamothoax & Pyothorax. CONCLUSION: Positive attitude of patients, good chest physiotherapy, early diagnosis appropriate antibiotics and control of diabetes reduces morbidity and mortality of chest trauma patients. ‘