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Background: The surgical approach in penetrating chest trauma with pulmonary injury requires knowledge of surgical techniques. We present a 4-year experience in the management of lung injury and the surgery is pulmonary trauma associated with increased mortality. Methods: The data corresponds to a trauma center level IV, with review of prospectively from 2008 to 2011. The results of surgical trauma correlating lung lesions. We get the results demographic, surgical and institutional mortality. Results: The total number of trauma patients is 638, with surgery in chest trauma patients is 134, and 77 patients lung lesions. the male gender is 93% and average age of 28 years of age. 73.13% corresponds to the cause of HAF. The surgical interventions included are neumonorrafia (46%), tractotomy (25%), wedge resection, lobectomy or pneumonectomy in the (0%), and thoracotomy for resuscitation (31%). With ISS score in 20 average, overall mortality was 28%. Conclusion: The majority of lung injuries in the young man, by penetrating chest trauma. Quick intraoperative assessment and appropriate control of the lesion is critical to the successful management of traumatic lung injury.

Herida Por Arma de Fuego Como Predictor Independiente de Mortalidad en Trauma de Tórax