Tojalrajas Emerg Med J, 22pp. These injuries can be analyzed from distinct points of view, ranging from consideration of the most severe injuries, especially in the context of multiple trauma, to the specific characteristics of blunt and open trauma. Si continua navegando, consideramos que acepta su uso. Value of chest radiography in excluding traumatic aortic rupture.
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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 ;
FISIOPATOLOGIA CONTUSION PULMONAR PDF
Dular Benchmarking in Thoracic Surgery. Arch Bronconeumol, 44pp. This article also analyzes other complex situations, notably airway trauma, which is usually very severe in blunt chest trauma and less severe and even suitable for conservative treatment in iatrogenic injury due to tracheal intubation. Surg Clin North Am, 69pp.