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Ninety per cent presented with a haemothorax or haemopneumothorax. Pneumothorax alone was present in only 3 per cent of cases. Twenty per cent had associated intra-abdominal injuries, involving mostly the diaphragm, liver, spleen and the gustrointestinal tract. Eighty per cent were treated with tube thoracostomy and among these there were 2 deaths, neither being related to the chest injury. About 16 per cent underwent thoracotomy with a mortality of 12\u00b78 per cent, all the deaths being caused by severe cardiac wounds. The overall mortality was 2\u00b78 per cent. The complication rate was 5\u00b73 per cent, most complications occurring in patients with associated intra-abdominal and spinal cord injuries. The average period of hospitalization was 6\u00b75 days. The management plan and the indications for the two courses of therapy are discussed.<\/jats:p>","DOI":"10.1002\/bjs.1800650113","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T16:17:38Z","timestamp":1172852258000},"page":"45-48","source":"Crossref","is-referenced-by-count":30,"title":["Penetrating gunshot wounds of the chest in civilian practice: Experience with 250 consecutive cases"],"prefix":"10.1093","volume":"65","author":[{"given":"Sonny S","family":"Oparah","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Martin Luther King Jr General Hospital"},{"name":"Charles R. Drew Postgraduate Medical School , Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashis K","family":"Mandal","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Martin Luther King Jr General Hospital"},{"name":"Charles R. 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