HEMORRHAGE AS THE CAUSE OF LETHALITY IN T HORACIC-SURGERY

Analysis of hospital lethality showed that hemorrhage was the cause of lethal outcomes in thoracic surgery among 0.5% of all hospitalized pa tients, 0.8% of those who underwent operation, and 17.3% of all patien ts who died. Among all fatal hemorrhages 28.6% were surgical and 71.4% were erosional. Surgical hemorrhage was due to injury inflicted to th e large vessels (atria) during the operation. Erosional hemorrhages we re caused by postoperative infectious-septic complications, progressiv e malignant tumors and pyo-purulent diseases, and exacerbation of pept ic ulcer or the formation of an acute gastric ulcer. Among the princip al causes of fatal hemorrhages are defective treatment (32.9% of cases ), methodical and technical errors during the operation (28.6%), erron eous diagnosis (25.3%), initially severe condition of patients (6.6%), and progressive malignant tumor (6.6%). Intraoperative prevention of fatal surgical hemorrhage is based on personal experience, knowledge a nd skill of surgeons, and the use of modern technology in the control of blood loss. The prevention of erosional hemorrhage in patients who are not operated on consists in timely surgical treatment and early di agnosis in the postoperative period and active treatment o of infectio us-septic complications.