The excess fluid interferes with gas exchange leading to hypoxia. The natural history of pulmonary contusions is that it tends to worsen over the first 2448 hours before it improves over the next 7 days. Mauricio salazar, md pediatra, residente ii ano neumologia pediatrica. Pulmonary contusion occurs by rapid deceleration when the moving chest strikes a fixed object.
Relationship of arterial blood gases and pulmonary radiographs to the degree of pulmonary damage in experimental pulmonary contusiono j trauma 1971. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. A case is presented of a patient with a severe pulmonary contusion with haemodynamic impairment and pulmonary septic shock. Aug 21, 2015 it is the context of trauma that defines the appearance as contusion.
Contusion pulmonar e insuficiencia pulmonar aguda by lisseth. In the present study of 329 trauma patients with pulmonary contusion admitted to the trauma icu, 142 43% required mechanical ventilation and 82 25% experienced ards for 48 h or more during their hospitalization. Pulmonary contusion is a common lesion occurring in patients sustaining severe blunt chest trauma. This results in accumulation of blood and other fluids within the lung tissue. The occurrence of pulmonary contusions was associated with higher mortality in several studies, especially because it frequently evolved to gas exchange impairment, delayed acute respiratory. Contusion pulmonar e insuficiencia respiratoria aguda. Thoracic trauma occurs in more than 50% of blunt trauma patients. Lung contusion is when, as a result of chest trauma, there is direct or indirect damage of the parenchyma of the lung that leads to oedema or alveolar haematoma and loss of physiological structure and function of the lung. Apr 26, 2018 pulmonary contusion is a protean clinical entity. Other causes are falls, assaults and sports injuries. Pulmonary contusion is a recurrent finding after high energy traumas.
Contusion pulmonar 63 95,5 contusion pulmonar bilateral 28 44,4 volet costal 5 7,6 contusion miocardica 1 1,5 rotura diafragmatica 1 1,5 rotura grandes vasos 2 3,0 drenaje pleural 35 53 toracotomia 9. Its treatment traditionally consists of support assistance, and is usually associated with an increase in mortality. The most common injuries are pulmonary contusion, hemothorax and pneumothorax with rib fractures. Lung contusion is an entity involving injury to the alveolar capillaries, without any tear or cut in the lung tissue. Changes in the mechanism of accidents induced by the development of the car industry have manifested in. Most of thoracic injuries are solved by respiratory and hemodynamic support measurements, and tube thoracostomy. The ards occurred in 59% of cases 4882 after the 24th hour. This type of injury leads to reduced gas exchange, increased pulmonary vascular resistance and decreased pulmonary compliance within 24 hours. Despite the prevalence and recognition of flail chest associated to pulmonary contusion, the morbidity and. Depending on the nature and severity of the trauma and the conditionreserves of the patient who suffers the injury the outcome can range from a transient discomfort to a sudden death. Pulmonary contusion occurs in 2535% of all blunt chest traumas lung tissue is crushed when the chest wall bends inward on impact. Airway, great vessels and heart injuries are rare but very serious. Practice management guideline for pulmonary contusion. Revista medica universitaria, volumen 1, numero 1, diciembre 2005, issn 16698991 contusion pulmonar dr.
Contusio pulmonar viquipedia, lenciclopedia lliure. Tratamiento analgesia oxigeno esteroides antibioticos jimenez, f. Quantifying the lesions on chest xray films and the factors affecting prognosis. Contusion pulmonar sistema respiratorio especialidades. Therefore, keep a close eye on these folks in the trauma bay, especially when the pulmonary contusion is already visible on your initial cxr. Contusion pulmonar tras rcp valorada por ecografia revista. Alveolar hemorhage and parenchymal destruction are maximal during the first 24 hours after injury. It is the context of trauma that defines the appearance as contusion. Risk factors affecting the prognosis in patients with. Alveolar hemorhage and parenchymal destruction are. Clinical features of the pulmonary contusion in children, cases report juan carlos carmona valle, md. Thoracic trauma severity score on admission allows to.