Septic complications of penetrating thoracic injuries

Danielyan Sh.N.; Abakumov M.M.; Voskresensky O.V.; Radchenko Iu.A.; Chernen'kaia T.V.

doi:https://doi.org/

Danielyan Sh.N.

NII SP im. N.V. Sklifosovskogo

ORCID: 0000-0001-6217-387X

Abakumov M.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Voskresensky O.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Radchenko Iu.A.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Chernen'kaia T.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Septic complications of penetrating thoracic injuries

Authors:

Danielyan Sh.N., Abakumov M.M., Voskresensky O.V., Radchenko Iu.A., Chernen'kaia T.V.

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Journal: Pirogov Russian Journal of Surgery. 2010;(10): 29‑35

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Danielyan ShN, Abakumov MM, Voskresensky OV, Radchenko IuA, Chernen'kaia TV. Septic complications of penetrating thoracic injuries. Pirogov Russian Journal of Surgery. 2010;(10):29‑35. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

224 cases of septic complications after penetrating thoracic injuries were analyzed. Pleura empyem was observed in 105 of 7572 patients (overall number of the injuried), lung abscess - in 22 cases, pericarditis was diagnosed in 108 patients, costal and sternal osteomyelitis - in 26 and mediastinitis - in 21 patients. Overall frequency of septic complication was 2,96%. Main reasons of septic complications were: massive blood loss, initial contamination, thoracotomy through the initially infected wound, long -lasting and coagulated hemothorax and late diagnosis and hospitalization. Staphylococcus aureus was the most frequent microbe detected - 29,4%. Lethality rate was 9,8% (22 patients). Adequate drainage of the wound allowed rehabilitation of the majority of patients. Cases with costal osteomyelitis required major surgical dissection in 73,1%.

Keywords:

septic complications

penetrating thoracic injuries

pleura empyem

Authors:

Danielyan Sh.N.

NII SP im. N.V. Sklifosovskogo

ORCID: 0000-0001-6217-387X

Abakumov M.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Voskresensky O.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Radchenko Iu.A.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Chernen'kaia T.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

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References:

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