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Surgery General 32f070f8

The ideal treatment for hemothorax greater than 500 ml/hour -

A
Wait and watch
B
Needle aspiration
C
Intercostal tube
D
Open thoracotomy with ligation of vessels
High-Yield Explanation
Following are indications of thoracotomy in blunt chest trauma: Initial drainage of blood > 1000 ml, especially if fresh. Continued brisk bleeding > (100 ml/15 minutes) from the intercostal drain Continued bleeding of > 200 ml/hr for > 3 hrs Rupture of bronchus, aorta, esophagus or diaphragm Cardiac tamponade (if needle aspiration unsuccessful).

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