Pulmonary contusion

DeMuth, William E.; Smith, James M.

doi:10.1016/s0002-9610(65)80061-7

Cited by 35 publications

(13 citation statements)

References 7 publications

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“…These radiological findings are, in our experience, diagnostic and can in most cases be differentiated from other injuries such as vascular injuries with a large haemothorax, pulmonary contusion with its patchy infiltration, or ruptured trachea and bronchus, already well documented in the literature (DeMuth and Smith, 1965;Stevens and Templeton, 1965;Chesterman and Satsangi, 1966;Larizadeh, 1966). In our cases, after insertion of an intercostal tube and drainage of haemopneumothorax there was little change in the radiological appearances of the pulmonary opacity, whereas in a simple haemothorax following intercostal drainage the chest radiograph usually shows considerable change and clearing.…”

supporting

confidence: 70%

Laceration of the lung following blunt trauma

Moghissi

1971

Thorax

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supporting

confidence: 70%

Laceration of the lung following blunt trauma

Moghissi

1971

Thorax

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“…[13][14][15] The specific significance of pulmonary contusion in seriously injured patients has been poorly studied within a large collective, especially in regard to morbidity and mortality. [16][17][18][19] Since LC rarely occurs as a single injury, it remains debatable whether the LC is itself an important factor in mortality or contributes to high mortality in the setting of polytrauma. 3,20,21 This also explains the range of the estimated LC mortality rate, which is between 14 and 40%, depending on the extent and associated injuries.…”

Section: Introductionmentioning

confidence: 99%

Lung Contusion in Polytrauma: An Analysis of the TraumaRegister DGU

Schulz-Drost

Finkbeiner

Lefering³

et al. 2019

Thorac Cardiovasc Surg

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Background Thorax trauma frequently occurs in which injuries to the bony chest, lung contusions (LCs), and others are diagnosed. The significance of this violation is described very differently and is mostly based on monocentric data. Methods A retrospective analysis of the TraumaRegister DGU® (TR-DGU) dataset (Project 2014–062) was performed between 2009 and 2014 (injury severity score [ISS] ≥ 16, primary admission to a trauma center, no isolated traumatic brain injury). Patients with LC (Abbreviated Injury Scale [AIS] 3 + 4) were compared with the control group, and an analysis of different age groups was performed. Results A total of 49,567 patients were included, thereunder 14,521 (29.3%) without relevant thoracic trauma (TT); 95.9% blunt traumas. 18,892 patients (38.1%) had LC and 14,008 (28.3%) had severe LC with AIS 3 + 4; thereunder 72.7% males. For severe LC, the average age was the lowest (44.7 ± 19.7 years) and ISS the highest (30.4 ± 12.1 points).Intubation, intensive care, (multi-) organ failure, sepsis, and extrathoracic injuries were most common in severe LC. Shock, chest tubes, further thoracic injuries, and patient death occurred most frequently in TT without LC.Younger patients showed a higher incidence of LC than the older ones; however, high patient age was a highly significant risk factor for the development of complications and poor outcome. Conclusion Since LC was present in almost 40% of the severely injured and was related to higher morbidity, LC should be detected and managed at the earliest possible time. Proper follow-ups employing chest X-rays and computed tomography (CT) scans are recommended.

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“…Pneumothorax is associated with blunt chest injury, but as all the recent clinical reviews of this entity deal primarily with car accident victims with direct injury to the bony thoracic cage (Alfano and Hale, 1965;DeMuth and Smith, 1965;Hankins et al, 1973;Roscher et al, 1974) it is difficult to assess the importance of lung contusion alone in the development of barotrauma. We have had the unique opportunity to study the clinical course of 15 attempted suicides leaping to the water from Seattle's Aurora Bridge, a major traffic arterial Supported in part by United States Public Health Service Grants HL 19457 and HL 05819 that is 50 metres above the water at mid-span.…”

mentioning

confidence: 99%

Lung injury following a 50-metre fall into water.

Robertson¹,

Lakshminarayan²,

Hudson³

1978

Thorax

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1978). Thorax, 33,[175][176][177][178][179][180] Lung injury following a 50-metre fall into water. The pulmonary complications of a 50-metre fall to the water (a form of suicide attempt producing 87% mortality) were studied in 15 survivors. Presenting findings included crackles, haemoptysis, and hypotension. The alveolar-arterial oxygen difference was greater than 150 mmHg (20 kPa) in nine subjects on admission. Ventilatory failure developed in 10 of the patients, including all of those with massive haemoptysis. Radiographic findings included pneumothorax and diffuse pulmonary opacities adjacent to the area of impact. Pneumothorax developed within 12 hours of admission in 10 of 15 subjects but was associated with rib fractures in only four subjects. The clinical course of the condition is consistent with the hypothesis that the traumatic pulmonary tears produced interstitial emphysema, with subsequent development of pneumomediastinum, subcutaneous emphysema, and pneumothorax. Pneumothorax is a common complication of severe lung contusion even in the absence of penetrating pleural injury.

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Pulmonary contusion

Cited by 35 publications

References 7 publications

Laceration of the lung following blunt trauma

Laceration of the lung following blunt trauma

Lung Contusion in Polytrauma: An Analysis of the TraumaRegister DGU

Lung injury following a 50-metre fall into water.

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