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Eur J Cardiothorac Surg 2002;21:57-59
© 2002 Elsevier Science NL

Chest trauma in children

^a Department of Thoracic Surgery, School of Medicine, University of Selcuk, 42080 Meram, Konya, Turkey
^b Department of Cardiovascular Surgery, School of Medicine, University of Selcuk, 42080 Meram, Konya, Turkey

Received 25 May 2001; received in revised form 14 October 2001; accepted 16 October 2001.

* Corresponding author. Tel.: +90-332-3232600/1845; fax: +90-332-3232643
e-mail: sceran{at}selcuk.edu.tr

Objectives: Chest trauma in childhood is uncommon in clinical practice. The management and treatment principles of children with thoracic trauma were discussed with the data reported in the literature. Methods: Of the chest injury diagnosed in 1653 patients, 225 were children in the last 17-year period. There were 199 boys (88.44%) and 26 girls (11.55%). The most common causes were blunt injuries in 135 cases (60%), stab wounds in 67 cases (29.77%) and gunshot wounds in 22 cases (9.77%). Results: Out of 225, 217 patients were treated conservatively and eight patients were treated surgically. There was no mortality and morbidity. Conclusions: The prevalence of chest trauma in children due to blunt injuries is high in Turkey. Extremity injury is thought to be the most commonly associated extra-thoracic injury. However, thoracic trauma in children can be managed conservatively in most of the cases.

Key Words: Chest trauma • Children

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