Groskin SA. Selected topics in chest trauma. Symbas PN. Chest drainage tubes. Surg Clin North Am. Arq Med ABC.
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The use of firearms increases the relative risk of death. The five more frequent specific chest injuries are lung contusion Clinical case: Patient of 25 years with a single firearm projectile wound in the chest who assisted to the emergency room ER with significant respiratory distress and meriting surgical emergency airway, documenting double pneumothorax, aortic laceration and rupture of the trachea, which required management in the ER with bilateral chest tube placement and subsequent surgical repair.
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Rojano-Mercado E. PMID: Spanish. Similar articles [Can diagnosis and subsequent trauma management of the multiple trauma patient with blunt thoracic trauma be improved by early computerized tomography of the thorax?
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2015, Number 617
A pulmonary contusion , also known as lung contusion , is a bruise of the lung , caused by chest trauma. As a result of damage to capillaries , blood and other fluids accumulate in the lung tissue. The excess fluid interferes with gas exchange , potentially leading to inadequate oxygen levels hypoxia. Unlike pulmonary laceration , another type of lung injury, pulmonary contusion does not involve a cut or tear of the lung tissue.
Traumatic lung lesions: computed tomography findings. Traumatic lesions of the lung are common findings in patients with thoracic trauma. These lesions are increasingly diagnosed using computed tomography, mostly due to the fast acquisition time helical techniques that allow evaluation of critically ill patients and an efficient therapeutic management. The authors studied patients with thoracic trauma submitted to computed tomography that demonstrated lung contusions, atelectasies, lacerations and hematomas. Lung contusions were the most frequent lesions appearing as consolidation or ground-glass attenuation areas. Atelectasies, in subsegmentar and compressive patterns, were the second most common lesions observed.
It usually occurs secondary to non-penetrating trauma. While contusion can affect anyone, children are considered more susceptible due to greater pliability of the chest wall at a young age. Contusions follow blunt or penetrating chest trauma, and are almost always seen with other chest and abdominal injuries. It is usually caused by disruption of the capillaries of the alveolar walls and septa, and leakage of blood into the alveolar spaces and interstitium 7. Features are often not localized in a lobar or segmental pattern. Contusions usually occur adjacent to bony structures as fractures cause the contusions and are hence seem to be peripherally located 5.