Vol. 72 No. 2 (2020)
Original Articles

Thoracic trauma by a bladed weapon

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  • Roberto González L.,
  • Alejandra Riquelme U.,
  • Claudio Toloza A.,
  • Rodrigo Reyes M.,
  • Enrique Seguel S.,
  • Aleck Stockins L.,
  • Andrés Jadue T.,
  • Matías Ávalos T.,
  • Sebastián Barra M.,
  • Felipe Alarcón O.,
  • Emilio Alarcón C.
Roberto González L.
Hospital Clínico Regional "Dr. Guillermo Grant Benavente" de Concepción. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción
Alejandra Riquelme U.
Facultad de Medicina, Departamento de Cirugía, Universidad de Concepción.
Claudio Toloza A.
Facultad de Medicina, Departamento de Cirugía, Universidad de Concepción.
Rodrigo Reyes M.
Hospital Clínico Regional "Dr. Guillermo Grant Benavente" de Concepción. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción
Enrique Seguel S.
Hospital Clínico Regional "Dr. Guillermo Grant Benavente" de Concepción. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción
Aleck Stockins L.
Hospital Clínico Regional "Dr. Guillermo Grant Benavente" de Concepción. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción
Andrés Jadue T.
Hospital Clínico Regional "Dr. Guillermo Grant Benavente" de Concepción. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción
Matías Ávalos T.
Facultad de Medicina, Departamento de Cirugía, Universidad de Concepción.
Sebastián Barra M.
Facultad de Medicina, Departamento de Cirugía, Universidad de Concepción.
Felipe Alarcón O.
Facultad de Medicina, Departamento de Cirugía, Universidad de Concepción.
Emilio Alarcón C.
Hospital Clínico Regional "Dr. Guillermo Grant Benavente" de Concepción. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción

Published 2020-03-09

Keywords

How to Cite

1.
González L. R, Riquelme U. A, Toloza A. C, Reyes M. R, Seguel S. E, Stockins L. A, et al. Thoracic trauma by a bladed weapon. Rev Cir. [Internet]. 2020 Mar. 9 [cited 2026 Sep. 4];72(2). Available from: https://revistacirugia.cl/index.php/revistacirugia/article/view/522
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Abstract

Aim: Our objectives are to describe and correlate the clinical characteristics, trauma severity indexes (TSI) and morbidity and mortality in patients hospitalized for thoracic trauma by a bladed weapon (TTBW).

Materials and Method: Transversal analytic study. Period January-1981 to December-2017. Prospective database review, surgical protocols, clinical files. The characteristics of the TTBW are described and compared. Injury Severity Score (ISS), Revised Trauma Score (RTS-T) and Trauma Injury Severity Score (TRISS) were calculated. Results: Total of 4,163 patients hospitalized for TT, 2,286 hospitalized for TTBW. Men: 2,131 (93.2%), average age 27.8 ± 10.7 years, isolated TTBW 2,035 (89.0%), associated with extra thoracic injuries 251 (11.0%) and of these 124 (5.5%) were considered polytrauma. Main mechanisms of trauma: Aggression 2,246 (98.3%) and self-aggression 22 (1.0%). Most frequent injuries and thoracic findings: pneumothorax 1,473 (64.4%), hemothorax 1,408 (61.6%), subcutaneous emphysema 485 (21.2%). Definitive treatment: Pleurotomy 1,378 (60.3%), thoracic surgery 537 (23.5%) and medical treatment 370 (16.2%). Average hospital stay: 6.2 ± 6.5 days. ISS average 10.9 ± 7.2, RTS-T average 11.6 ± 1.4 and TRISS average 3.6. Morbidity: 318 (13.9%). Mortality: 32 (1.4%).

Discussion: TTBW are frequent in our environment, unlike on an international level.

Conclusions: TTBW frequently occur in young male patients due to aggression. The majority can be treated with exclusive pleurotomy.

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