Exam questionKROK 2Medicine ยท 2011
Examination of a 38-year-old patient who had been hit with a blunt object on the left side of chest revealed a fracture of the X rib with fragments displacement, parietal pneumothorax. The patient complains of pain in the left subcostal area. Objectively: the patient is pale, AP- 80/40 mm Hg, Ps- 138/min, of poor volume. USI reveals fluid in the left abdomen. Splenic rupture is present. What treatment tactics should be chosen?
Answer options
- Immediate laparotomy and alcohol-novocaine block of the X rib
- Left-sided thoracotomy and immediately following laparotomy
- Drainage of the left pleural cavity and laparotomy
- Immediate upper middle laparotomy and following drainage of the left pleural cavity
- Anti-schock actions and laparotomy following the arterial pressure rise
Correct answer
Drainage of the left pleural cavity and laparotomy
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