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Journal Article

Citation

Ondo N'Dong F, Rabibinongo E, Ngo'o Ze S, Bellamy J, Mambana C, Diane C. J. Chir. (Masson) 1993; 130(8-9): 367-370.

Vernacular Title

Les traumatismes et plaies thoraciques a Libreville. Aspects therapeutiques. A

Affiliation

Service de Chirurgie Thoracique, Vasculaire et Viscérale, Fondation Jeanne Ebori, Libreville Gabon.

Copyright

(Copyright © 1993, Masson Editeur)

DOI

unavailable

PMID

8253885

Abstract

106 cases of trauma and chest wounds have been treated at the Jeanne Ebori Foundation from 1980 to 1990. They involved 90 men (85%) and 16 women (16%) with an average age of 35. The prevalent etiology was road accidents 55 (52%), followed by assaults 30 (28%). 22 blade wounds and 12 bullet wounds required coordinated surgical and intensive care at resuscitation. 19 pleuro-mediastinal spills, 8 intra-thoracic lesions with 6 vascular wounds and 1 heart wound. Surgical treatment required 13 immediate thoracotomies and in 3 cases with 1 associated laparotomy. We recorded 8 deaths (7%), 75 healings without consequences (71%) and 23 healings with consequences (22%). We noted the extreme gravity of the penetrating wounds especially bullet wounds, as well as that of the poly-traumatisms. This picture requires complex resuscitation management with surgical relays in a precarious respiratory context.


Language: fr

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