Post-Traumatic Pulmonary Hematoma Presenting as Multiple Ring-shaped Spherical Nodules

Ikeda, Orito; Shimizu, Kunihiko; Yamada, Yoshitake; Sugiura, Hiroaki; Takahashi, Miki; Kimura, Tokuhiro; Suzuki, Hideaki; Sato, Kozo; Jinzaki, Masahiro

doi:10.1164/rccm.202302-0275im

Cited by 1 publication

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“…Traumatic pulmonary haemorrhage (TPH), bleeding into the lung parenchyma and the pleural cavity due to severe blunt or penetrating chest trauma, represents a critical medical emergency. 1 , 2 This condition, characterised by bleeding into the lung parenchyma and the pleural cavity, necessitates immediate and effective medical intervention. 3 , 4 Surgical treatment, particularly in cases where conservative management fails, plays a pivotal role in managing such severe instances of TPH.…”

Section: Introductionmentioning

confidence: 99%

Analysing predictors of surgical site infections in patients undergoing emergency surgery for traumatic pulmonary haemorrhage

Zhang,

Pan

2024

International Wound Journal

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Identifying predictors for surgical site infections (SSIs) after emergency surgical treatment for traumatic pulmonary haemorrhage (TPH) is crucial for improving patient outcomes. This study aims to ascertain these predictors. In this comprehensive retrospective study, conducted from January 2020 to December 2023 at our institution, 75 patients were analysed, including a case group of 25 patients with SSIs and a control group of 50 without SSIs post‐TPH surgery. Inclusion criteria focused on patients aged 18 and above undergoing thoracotomy or minimally invasive thoracic surgery for TPH. Exclusion criteria included compromised immune systems, chronic pulmonary diseases, prior thoracic surgery or active infections at admission. We assessed several predictors: anaemia; operation time over 2 h; hospital stay over 5 days; intraoperative blood loss exceeding 500 mL; body mass index (BMI) ≥25 kg/m2; age ≥ 50 years; use of surgical drains; the presence of open wounds; diabetes mellitus and non‐prophylactic antibiotic use. Statistical analysis involved univariate and multivariate logistic regression, using SPSS Version 27.0. Univariate analysis revealed significant associations between SSIs and surgical drain placement, diabetes mellitus, open wounds and non‐prophylactic antibiotic use (p < 0.01). Multivariate analysis confirmed these factors as significant predictors of SSIs, with notable odds ratios. Other variables like anaemia, extended hospital stay, excessive intraoperative blood loss, older age and higher BMI did not significantly predict SSIs. Significant predictors for SSIs following TPH surgery include surgical drain placement, diabetes mellitus, open wounds and non‐prophylactic antibiotic use. Identifying and managing these risks is crucial in clinical practice to reduce SSIs incidence and improve patient outcomes.

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Section: Introductionmentioning

confidence: 99%