Exam questionKROK 2Medicine ยท 2018
A 28-year-old man after car accident received a wound to the right side of his chest inflicted by a sharp metal object. A foamy liquid flows out from the wound, there are tympanitis and acutely weakened respirations in the right. Blood pressure is 70/30 mm Hg, pulse is 120/min., Hb is 28 g/L. X-ray shows collapsed right lung, horizontal fluid level is at the 3rd rib. What treatment tactics should be chosen?
Answer options
- Conservative therapy
- Apply occlusive dressing to the wound
- Drain the right pleural cavity
- Delayed thoracotomy
- Urgent thoracotomy
Correct answer
Urgent thoracotomy
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