Imaging of Penetrating Chest Trauma

Imaging of Thoracic Trauma

“…Following tube thoracostomy, pleural blood loss у250 ml/h or greater Ͼ1000-1500 mL often indicates the need for thoracotomy [17,18]. Initial CT imaging showing a layering hemothorax thicker than 24 mm is a relatively specific indicator that blood loss will exceed this threshold [18].…”

“…Initial CT imaging showing a layering hemothorax thicker than 24 mm is a relatively specific indicator that blood loss will exceed this threshold [18]. For patients who do not undergo initial thoracotomy and are instead treated with tube thoracostomy, CT is useful in detecting retained hemothorax.…”

Manejo conservador en múltiples heridas torácicas por bala

“…Un seguimiento estricto es necesario, ya que algunas veces el manejo conservador falla. El Angio-TC de Tórax es una herramienta rápida y sensible, necesaria para realizar un manejo conservador en estos pacientes [1][2][3] . …”

Cardiac and Pulmonary Injury

“…With the advent of the multidetector CT, significant progress has been made in the speed of data acquisition and image reconstruction. This development has resulted in a substantial increase in the number of hemodynamically stable patients with PLI that are imaged with multidetector CT [42]. CT is far more sensitive than CXR in detecting pulmonary injuries.…”