CONTUSION PULMONAR PDF

Email: moc. Received Apr 26; Accepted Nov 9. Copyright Journal of Thoracic Disease. All rights reserved.

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At the moment they are considered three basic phenomenons as etiology: l. The diagnosis is based on the clinic, the knowledge of the lesion; the rays X and T AC are good for the confirmation. The treatment is conservative and expectant, with breathing monitor, it is necessary to direct efforts to exclude associate lesions, and to treat the hipoxemia is with general measures or ventilation mechanics in the severe bruise, the fluids with a limited resuscitation are preferable.

Therapy has not been developed it specifies neither you drug that act in prevention or reduction of the lesiono The steroids are not of utility and there are not stu dies that support the antibiotic prevention. The severe bruise can develop infections, SRDA, and death. Imagen obtenida de la misma paciente luego de 8h del trauma.

Cohn SM. Contusion pulmonary. Review of the Clinical Entity. J Trauma ; Velmahos GC. Secretos del traumatismo. Editorial McGraw-Hill Interamericana. Lewis FR. In: Callaham MI.. Current Therapy in Emergency Medicine. Decker Inc. Toronto - Philadelphia. Thomson FG. Notes on penetrating chest wounds.

BMJ ; 1 Wintermark M. The Macklin Effect. Chest ; Hooker DR. Physiological effects of air concussion. Am J Physiol ; 7. Response to blunt chest injury: a new experimental model. Pulmonary contusions. Relationship of arterial blood gases and pulmonary radiographs to the degree of pulmonary damage in experimental pulmonary contusiono J Trauma ; Pulmonary contusion: TC vs.

J Comput Assisted Tomogr ; Pulmonary contusiono Evaluation and classification by computed tomography. Surg Clin North Am ; The efficacy of an oscillating bed in the prevention of 10wer respiratory tract infection in critical ill victims ofblunt trauma.

Gattinoni L, Chiumello, Russo R. Reduced tidal volumes and lung protective ventilatory strategies: where do we go from here? Curr Opin Crit Care ; Bigatello LM.

Patroniti N, Sangalli F. Permissive hypercapnia. Ricard JD, Lemaire F. Liquid ventilation. Curr Opin Crit Careo ; Inoue H, Suzuki 1, Iwasaki M, et al. Selective exclusion of the injury lung. Selective management of flaid chest and pulmonary contusiono Ann Surg ; Crystalloid resuscitation of patients with pulmonary contusiono Am J Surg ; Determinants of outcome after pulmonary contusiono J Trauma ; Stem S.

Low-volume fluid resuscitation for presumed hemorrhagic shock: helpful or harmful? Cochrane Injuries Group Albumin Reviewers. Human albumin administration in critically ill patients: systematic review of randomized controlled trials. BMJ ; Hypertonic saline resuscitation of head injury: effects on cerebral water content. Potential of hemoglobin-based oxygen carriers in trauma patients. Fluid resuscitation for trauma patients in!

Lung bacterial clearance following pulmonary contusiono Surgery ;

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Contusão pulmonar

The alveoli Pulmonary contusion and laceration are injuries to the lung tissue. Pulmonary laceration , in which lung tissue is torn or cut, differs from pulmonary contusion in that the former involves disruption of the macroscopic architecture of the lung, [1] while the latter does not. These conditions do not inherently involve damage to the lung tissue itself, but they may be associated with it. Injuries to the chest wall are also distinct from but may be associated with lung injuries. Chest wall injuries include rib fractures and flail chest , in which multiple ribs are broken so that a segment of the ribcage is detached from the rest of the chest wall and moves independently.

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Pulmonary Contusion

A pulmonary contusion is bruising or bleeding of your lung tissue that may cause pain and trouble breathing. What are the signs and symptoms of a pulmonary contusion? You may have more than one of the following: Chest pain Coughing up blood or large amounts of watery sputum spit Fast and shallow breathing High-pitched wheezing when you breathe out How is a pulmonary contusion treated? Your treatment will depend on how severe your injury is.

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