الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Trauma is a leading cause of mortality globally, chest traumas account for 10% to 15% of all traumas and are the cause of death in 25% of all fatalities resulting from trauma. Over 70% of thoracic injuries result from blunt trauma, most of which are caused by automobile accidents.
The present study included 123 patients with blunt chest trauma presented to Emergency Department of Menoufia University Hospital to study the different presentation, management and outcome of chest trauma patients in different age populations comparing children and adult chest trauma.
All patients examined according to advanced trauma life support guidelines (ATLS). In the present study, out of 123 patients with blunt chest trauma, 42 were children while 81patients were adult.
Males predominates females in the present study with either children 32 male out of 42 patient (76.2%) (Male: female 3.2:1) or adult 67 male out of 81 patient (82.7%) (Male: female 4.8:1).
Overall, motor vehicle accident was the leading cause of blunt trauma patients in 54.8 % of children and 71.6 % of adult. Fall from a height was the second most common cause of blunt chest trauma, it was the cause in 42.9% of children and in 23.5% of adult.
In the current study, it’s found that pulmonary contusion is the most frequent chest injury, incidence of lung contusion among children with chest injury is higher than it’s in adult. Rib fracture was more common in adult than children, it was the second most common chest injury in adult.
our study, cardiac contusion and pericardial effusion were counted more in adult than children.
Various surgical treatments were offered for the studied groups. Inter costal chest tube is the most common surgical intervention done. It was done in all children with pnemothorax or hemothorax and in 88.9% of adult patient with pneumothorax and in 66.7% of adult patient with hemothorax.