Acute Chest Diseases: Infection and Trauma

摘要: Acute chest diseases include clinical situations with infectious and traumatic etiology. Pulmonary infection is the most common indication for performing radiography. Radiological imaging often confirms diagnosis allows evaluation of location extent infection. Chest radiography primary procedure starting point all children acute disease. Accurate interpretation pediatric films also requires a basic understanding physiologic anatomic differences among adults, neonates, infants their important will be referred. Characterization pulmonary infiltrates important, because patterns abnormality suggest specific organisms aetiologies. Although providing evidence suggestive causative agent, radiograph cannot confirm viral infection, or exclude bacterial In fact, in infancy, pneumonia usually produces combination alterations airspace interstitium. However, some aspects may useful distinguishing between pneumonia. Close attention to CT technique crucial patients, namely those persistent symptoms and/or progressive despite medical surgical therapy, immunocompromised patients. low radiation dose should carefully performed these cases. examination IV contrast very complications Thoracic trauma rare, only 4–6 % are hospitalized following severe trauma. Only small number have thoracic injury (14 %), but injuries tend serious nature. About 25–50 cases occur other locations. contusion lacerations, tracheobronchial injuries, pneumothorax, esophageal rupture referred as main consequences The decision appropriate use techniques must consider case under review. initial screening method. determined by nature trauma, circumstances, prediction future revaluation, always taking into account applied child.