- Apr 2020
The most common injuries from both blunt and penetrating thoracic trauma are hemothorax and pneumothorax. More than 85% of patients can be definitively treated with a chest tube. The indications for thoracotomy include significant initial or ongoing hemorrhage from the tube thoracostomy and specific imaging-identified diagnoses (Table 7-10). One caveat concerns the patient who presents after a delay. Even when the initial chest tube output is 1.5 L, if the output ceases and the lung is reexpanded, the patient may be managed nonoperatively if hemodynamically stable.
chest tube can treat 85% of hemo/pneumothoraxes, if significant bleeding from tube thoracostomy initially or ongoing was present, thoracotomy is indicated. patient delayed presentation is a caveat. nonop manageing is possible in stable patient with ceased output and rexpanded lungs even after 1.5 L output.