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    • Pulmonary War Injury in Yemen

    Ali Mohamed. A. Saleh , M.D ,CAIRO *, Arafat Ali Mohammed Al-absi , M.B.B.Ch

    Chest injuries is a common injuries encountered during war period which is one of the leading cause of death. The majority of Chest war injuries can managed non-operatively by simple surgical procedures Some chest war injuries can cause major morbidity and even death if there is delay in the presentation ,diagnosis or proper management of these injuries. The importance of acknowledgement of chest war injuries and the management of each injuries is due to the danger and the simple procedure for treatment of many of these injuries if they detected and managed in the proper time. Objective: The aim of this study is general assessment of surgical management for Chest war injuries for patients at Al-Thawra modern general hospital - Sana'a and 48 medical compound- Sana'a from July 2015 to February 2016. Method: This is retrospective study for fifty- two patients with chest war injuries that admitted into surgical department in Al-Thawra General Modern Hospital Sana’a and 48 medical compound- Sana'a in Yemen, from July 2015 to February 2016. Results: fifty- two patients chest war injuries were included in this research 19 patients (36.5%) were less than 21 years, 22 patients (42.3%) from 21-30 years,9 patients (17.3%) from 31-40 years, and 2 patients (3.9%) more than 40 years old. 48 of patients (92.3%) had unilateral injury , 4 patients (7.7%) had bilateral injury. 22 patients (42.31%) had left side injury , 26 patients (50%) had right side injury , and 4 patients (7.7%) injured in both sides. 30 patients (57.7%) injured by shell fragments , 21 patients (40.4%) by gunshot , 1 patient (1.9%) by blunt injury. 26 patients (50%) had pneumothorax, 24 patients (46.2%) had haemothorax ,3 patients (5.8%) had lung contusion ,13 patients (25%) had rib fracture , and one patient(1.9%) had flail chest. 22 patients (42%) had an associated injuries, and 30 patients (58%) with no associated injuries. 8 patients (36.4%) with head and CNS injuries ,4 patients (18.2%) with neck injuries , 7 patients (31.8%) with abdominal and pelvic injuries , 6 patients (27.3%) with upper extremity injuries , and 9 patients (40.1%) with lower extremity injuries. 5 patients (9.6%) admitted for less than 6 days , 22 patients (42.3%) 6 – 10 days , 13 patients (25%) 11-15 days , 6 patients (11.5%) 16 - 20 days , 4 patients (7.7%) 21- 25 days , and 2 patients (3.9%) for more than 26 days. 3 patients (5.6%) underwent thoracotomy and for other 49 patients (94.4%) no thoracotomy needed .

    Key Words : Pulmonary War Injury (PWI)

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