Penetrating Thoracic and Mediastinal Injury
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Thoracic trauma is relatively uncommon, accounting for only five to 12% of admissions to pediatric trauma centers. Among those pediatric patients with thoracic trauma, blunt injury predominates and accounts for 60 to 80% of all injuries.
The incidence of penetrating thoracic trauma increases with age, and is more common in adolescents than young children. Thoracic injuries alone are associated with a five percent mortality but, as with adults, mortality increases significantly with associated head or abdominal injuries and may be as high as 40% when all three body regions are injured. Therefore, despite its infrequency, thoracic trauma is associated with significant morbidity and mortality in children .