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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

  1. Conservative therapy
  2. Apply occlusive dressing to the wound
  3. Drain the right pleural cavity
  4. Delayed thoracotomy
  5. Urgent thoracotomy
Correct answer

Urgent thoracotomy

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