• Ishtiaq Ali Khan
  • Salma Ghaffar
  • Saadia Asif
  • Zia -ur- Rehman
  • Shawana Asad
  • Ehtisham Ahmed
  • Wasim Ahmed
  • Zeeshan Asif


Background: The incidence of thoracic trauma has rapidly increased in this century of high speedvehicles, violence and various other disasters. It has been observed that chest intubation was requiredin more than 75% of patients. Methods: This prospective study was performed in cardiothoracicsurgery unit of Ayub Teaching Hospital Abbottabad from Jun 2007 to Dec 2007. A total of 114consecutive patients with chest trauma were included in the study, their patterns of injuries classified,treatment strategies and outcome were recorded on a proforma. Results: Out of 114 patients withchest trauma, 76 (66.65%) were having penetrating and 38 (33.33%) had blunt trauma. Haemothoraxwas detected in 67 (58.77%), Pneumothorax in 23 (20.17%), rib fracture in 11 (15.02%) anddiaphragmatic injuries in 4 (3.5%) cases. Overall complication rate was 14%. Wound infection waspresent in 8 (7.01%) and empyema in 4 (3.5%). Mortality was 2.6%. Conclusion: Penetrating chestinjuries were more common than blunt injuries and chest intubation with resuscitation was adequatein most of the patients.Keywords: Chest Trauma, Penetrating chest injuries, chest intubation.


Ceran S, Sunam GS, Aribas OK, Gormus N, Solak H. Chest

trauma in children. Eur J Cardiothorac Surg 2002;21:57–9 .

Smolle J, Prause G, Smolle-Jüttner FM. Emergency treatment of

chest trauma–an e-learning simulation model for undergraduate

medical students. Eur J Cardiothorac Surg 2007;32:644–7.

Shahani R, Galla JD. Penetrating Chest Trauma. eMedicine J

Available at:

-overview retrieved on 22/01/2009.

Lewis, G, Knottenbelt, JD. Should emergency room thoracotomy

be reserved for cases of cardiac tamponade Injury 1991;22:5–6.

Brown; SE, Gomez GA, Jacobson LE, Scheret McMillan RA.

Penetrating chest trauma: should indications for emergency room

thoracotomy be limited. Am J Surg 1996;62:530–4.

Richardson JD, Miller FB, Carrillo EH, Spain DA. Complex

thoracic injuries. Surg Clin-North-Am 1996; 76:725–48.

Smyth BT. Chest trauma in children. J Pediatr Surg 1979;14:41–7.

Khan MLZ, Haider J, Alam SN, Jawaid M, Malik KA. Chest

Trauma Management: Good outcomes possible in a general

surgical unit. Pak J Med Sci 2009;25(2):217–21.

Farooq U, Raza W, Zia N, Hanif M, Khan MM. Classification

and management of chest trauma. J Coll Physicians Surg Pak


Brotzu G, Montisci R, Pillai W, Sanna S. Chest injuries. A

review of 195 patients. Ann Chir Gynaecol 1988;77:155–9.

Hanif F, Mirza SM, Chaudhry AM. Re-appraisal of thoracic

trauma. Pak J Surg 2000;16:25–8.

Fallon, WF JR, Wears RL. Prophylactic antibiotics for the

prevention of infectious complications including empyema

following tube thoracostomy for trauma. J Trauma 1992;33:110–7.

Graham JM; Mattox KL Beall AC. Penetrating trauma of the

lung. J Trauma 1979;19:665–9.

Hishberg A, Thomas SR, Bade PG, Haizingav WK. Pitfalls in the

management of patients with penetrating chest trauma. Am J

Surg 1989;157(4):372–5.

Bastos R, Baisden CE, Harker L, Calhoon JH. Penetrating thoracic

trauma. Semin Thorac Cardiovasc Surg 2008;20(1):19–25.

Khan MS, Bilal A. Prospective study of penetrating chest trauma

and evaluation of role of thoracotomy. J Pak Med Inst


Eren S, Balci AE, Ulku R, Cakir O, Eren MN. Thoracic firearm

injuries in children: management and analysis of prognostic

factors. Eur J Cardiothorac Surg 2003;23:888–93



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