Asymptomatic stab wounds of the chest.

摘要: In a prospective study of 4,106 consecutive cases initially asymptomatic stab wounds the chest, 88% were successfully treated as outpatients after negative findings on repeat chest x-ray film 6 hours presentation, 12% patients required tube thoracostomy for delayed pneumothoraces hemothoraces, 0.2% thoracotomy and continued bleeding or cardiac injuries, 1% with small (subjectively less than 20%) observed, 68% remained asymptomatic. The accuracy initial was 95% overall, specificity 99.9%. predictive value only 87.4% precludes immediate outpatient management these patients. overall mortality 0.1%, during following surgery 50%. Of four unsuspected two died in operating room. Asymptomatic (with normal films) may be discharged 8 observation. nonprogressive (less not requiring 48 Thirty-two percent those observed films, had progression their injuries thoracostomy. All should have close follow-up.