<strong>Abstract</strong> <em>Introduction:</em> Post-traumatic pleural empyema tends to increase in recent years, related to the severity of chest trauma and postoperative care. There are very few studies on this type of disease. The study aims to describe some etiological, clinical, and paraclinical characteristics and evaluate early results of endoscopic thoracic surgery to treat this disease. <em>Patients and Methods:</em> A retrospective descriptive study of cases with a confirmed diagnosis of post-traumatic empyema and treated by thoracoscopic surgery, at the Cardiovascular and Thoracic Center, Viet Duc university hospital, from January 2017 to April 2021. <em>Results:</em> Including 52 patients, with 46 men - 6 women, the average age was 44.87 years old; the average time from accident to surgery was 31.17 days, the average surgery time was 86.83 minutes; thoracoscopic surgery was 100% successful. Intensive respiratory physiotherapy was performed in 100% of patients; the average postoperative hospital stay was 8.13 days; the most common postoperative complication was wound infection (3.8%); 100% of patients discharged from the hospital were stable, with no mortality. <em>Conclusion: </em>Endoscopic thoracic surgery combined with intensive respiratory physiotherapy after surgery is an effective solution in treating post-traumatic pleural empyema. <em>Keywords: </em>Post-traumatic empyema, chest trauma, endoscopic thoracic. <strong>References</strong> <ol> <li>Nguyen Huu Uoc, Pham Huu Lu, et al. Cardiology - Thoracic Surgery. <em>Medical Publisher.</em></li> <li>Nguyen Huu Uoc, Doan Quoc Hung, Le Ngoc Thanh, et al. Evaluation of the emergency situation of thoracic trauma at Viet Duc Hospital in the period 2004-2006. <em>Vietnamese Medical Journal.</em> 2006;328(1):402-413.</li> <li>Doan Quoc Hung, Lai Thanh Tung. Post-operative care process for post traumatic empyema patients at Viet Duc Hospital. <em>Vietnam Journal of Cardiothoracic Surgery.</em> 2017;16:32-35.</li> <li>Dinh Van Luong. Research on diagnosis and surgical treatment of empyema in adults <em>[Medical Doctoral Thesis]</em>, Hanoi Medical University; two thousand and thirteen.</li> <li>O’Connor J.V, al. e. Post-traumatic empyema: aetiology, surgery and outcome in 125 consecutive patients. 2013;44, 9(2):pp.1153-1158.</li> <li>Chen, Hung-Jen, et al. Ultrasound in peripheral pulmonary air-fluid lesions: color Doppler imaging as an aid in differentiating empyema and abscess. <em>CHEST Journal.</em> 2009;135, 6:pp.1426-1432.</li> <li>Magu S., Ashok Y., Shalini A. Computed tomography in blunt chest trauma. <em>The Indian journal of chest diseases & allied sciences.</em> 2009;65:pp.75-81.</li> <li>Nguyen Van Quang, Nguyen Cong Minh. Evaluation of the results of pneumothorax surgery in the treatment of chronic empyema. <em>Medical Journal of Ho Chi Minh City.</em> 2007;11(1):372-379.</li> <li>Ahmed, Ala Eldin H and Tariq E Yacoub. Empyema thoracis. In: <em>Clinical medicine insights. </em>Vol Circulatory, respiratory and pulmonary medicine.2010:pp.1-8.</li> <li>Andrade-Alegre R, Garisto JD, Zebede S. Open thoracotomy and decortication for chronic empyema. <em>Clinics (Sao Paulo, Brazil)</em>. 2008;63(6):789-793.</li> </ol> <!--more--> <a href="https://vjsel.vn/wp-content/uploads/2022/05/BAI-3.pdf">Download PDF File</a>
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