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Research ArticleOriginal Article
Open Access

Pediatric thoracic trauma

Stanley J. Crankson, James D. Fischer, Abdullah A. Al-Rabeeah and Saud A. Al-Jaddan
Saudi Medical Journal February 2001, 22 (2) 117-120;
Stanley J. Crankson
Department of Surgery (1446), King Fahad National Guard Hospital, PO Box 22490, Riyadh 11426. Tel. +966 (1) 2520088. Fax. +966 (1) 2520140. E-mail: [email protected]
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  • For correspondence: [email protected]
James D. Fischer
Department of Surgery, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
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Abdullah A. Al-Rabeeah
Department of Surgery, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
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Saud A. Al-Jaddan
Department of Surgery, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: A retrospective analysis of the medical records of children up to 12 years of age inclusive, who sustained thoracic injuries during a 6-year period.

METHODS: Ninety-one children were treated at King Fahad National Guard Hospital, Riyadh from January 1993 through December 1998. The clinical data included age, sex, mechanism of injury, associated injuries, pediatric trauma score, treatment and mortality.

RESULTS: Eighty-seven children (96%) had injuries from blunt trauma and 4 from penetrating injuries. Of the blunt trauma cases, 82 children sustained motor vehicle accident related injuries, 62 as pedestrians and 20 as passengers. Penetrating thoracic injuries occurred in 4 children: 1 stab wound and 3 gunshots. The most frequent thoracic injuries were pulmonary contusion (70), pneumothorax (32), fractured rib (20) and fractured clavicle (18). Extrathoracic injuries included head (45), abdominal (41) and skeletal (26). Thoracotomy was required in only 1 child, laparotomy being necessary in 9 children for intraabdominal injuries. Tube thoracostomy was required in 33 children. Nine children died from motor vehicle accident related fatal head and neck injuries, 8 as pedestrians all with a pediatric trauma score <= 6.

CONCLUSION: Thoracic injuries in children below 12 years of age are usually from motor vehicle accident related blunt trauma. Pulmonary contusion and pneumothorax are the most common thoracic injuries. Most thoracic injuries can be managed either conservatively or by tube thoracostomy. Thoracic trauma in children is an indicator of multisystem injury with head injury being the most common cause of mortality.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (2)
Saudi Medical Journal
Vol. 22, Issue 2
1 Feb 2001
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Pediatric thoracic trauma
Stanley J. Crankson, James D. Fischer, Abdullah A. Al-Rabeeah, Saud A. Al-Jaddan
Saudi Medical Journal Feb 2001, 22 (2) 117-120;

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Pediatric thoracic trauma
Stanley J. Crankson, James D. Fischer, Abdullah A. Al-Rabeeah, Saud A. Al-Jaddan
Saudi Medical Journal Feb 2001, 22 (2) 117-120;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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