Pulmonary trauma

作者: Edward A Ullman , Lawrence P Donley , William J Brady

DOI: 10.1016/S0733-8627(03)00016-6

关键词: Pleural cavityMedicineThoraxRespiratory diseaseSurgeryFlail chestHemothoraxParietal PleuraPulmonary contusionPneumothoraxEmergency medicine

摘要: Injury to the respiratory system is frequent among victims of significant trauma. Such injury presents across a spectrum severity. Isolated rib fractures can result in pain yet cause minimal morbidity or mortality. Alternatively, pulmonary may impair cardiorespiratory function, resulting danger life. Complex (eg, pneumothorax, flail chest, hemothorax, contusion laceration, and tracheobronchial disruptions) are injuries with substantial associated This article focuses on pathophysiology, recognition, emergency department (ED) management these life-threatening pulmonic injuries. Pneumothorax The pleural cavity potential space that created between opposing surfaces visceral parietal pleura. surface lungs enveloped by pleura, whereas pleura adherent chest wall, diaphragm, mediastinum. two contiguous maintain resting negative pressure relative atmosphere. There small amount serous fluid within allows

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