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Blunt chest trauma with deep pulmonary laceration
- Source :
- The Annals of Thoracic Surgery. 71:314-318
- Publication Year :
- 2001
- Publisher :
- Elsevier BV, 2001.
-
Abstract
- Background . Deep pulmonary laceration (DPL) is rare and its survival rate is low. The present study focused on the prognostic factors of DPL. Methods . The present study concerned 17 DPL patients treated in Tokai University Hospital between 1988 and 1998. The prognostic factors of DPL were compared with systolic blood pressure (SBP), PaO 2 , and the volume of intrathoracic blood loss. Characteristic findings of initial chest roentgenograms of DPL were investigated. Results . Eleven patients were saved and 6 patients died. An SBP of less than 80 mm Hg on arrival at the hospital and a blood loss of more than 1,000 mL through the chest tube within 2 hours after arrival were poor prognostic factors. Hypoxemia on arrival was not a poor prognostic factor. Chest roentgenograms showed macular infiltrative shadow with moderate lung collapse and deviation of the mediastinal shadow toward the unaffected side. Selective bronchial occlusion with a Univent prevented suffocation by intrabronchial blood. Conclusions . Two poor prognostic factors of DPL are SBP less than 80 mm Hg on arrival and blood loss of more than 1,000 mL through the chest tube within 2 hours after arrival.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
Thorax
medicine.medical_specialty
Adolescent
Thoracic Injuries
medicine.medical_treatment
Lung injury
Wounds, Nonpenetrating
Lacerations
Hypoxemia
Internal medicine
medicine
Humans
Survival rate
business.industry
Respiratory disease
Accidents, Traffic
Lung Injury
Prognosis
medicine.disease
Surgery
Radiography
Chest tube
Blood pressure
Motorcycles
Pulmonary laceration
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 71
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....498c021200358d5f6667ef1a03ee68d8