Blunt chest trauma

Karmy‐Jones, Riyad; Jurkovich, Gregory J.

doi:10.1016/j.cpsurg.2003.12.004

Cited by 98 publications

(66 citation statements)

References 433 publications

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“…This is in agreement with those of all the previous studies. The most frequently observed finding after thoracotomy was pulmonary rupture, followed by injury of intercostal vessels, which is consistent with the findings of some other studies [4,6,10]. Considering this, providing more care for these patients in emergency rooms of therapeutic centers and performing immediate and life-saving procedures are necessary in all these patients.…”

Section: Discussionsupporting

confidence: 90%

“…Hemothorax, pneumothorax, and a combination of these two injuries are the most common fatal complications of penetrating and blunt chest traumas. Since chest trauma can affect a large portion of the world population, it can lead to the highest amount of working year loss and almost 40 % of all deaths caused by it can be prevented by preventive procedures and establishment of regional trauma systems [5,6]. The key point in diagnosis of chest trauma is having a high suspicion of the probability of chest trauma presence in an injured patient.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

2012

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The aim of the study was to determine the frequency of different injuries caused by penetrating chest traumas, and also the cause and type of trauma and its accompanying injuries. This is a cross-sectional descriptive study, carried out on all patients referred to the emergency room of Shahid Bahonar Hospital, Kerman, from March 2000 to September 2008, due to penetrating chest trauma. The required information including age, sex, cause of trauma, type and site of injury, and accompanying injury was obtained and used to fill out a questionnaire and then was analyzed. 828 patients were included in the study; most of them were in the age range of 20-29. Of the patients, 97.6 % were males. The most frequent cause of trauma was stabbing, and the most frequent injuries following the trauma were pneumothorax and hemothorax. Orthopedic trauma was the most frequent accompanying injury. The most commonly used diagnostic method was plain chest radiography. In 93 % of the patients, the chest tube was placed and thoracotomy was performed for 97 % of the patients. Shahid Bahonar Hospital is a referral Trauma Centre and treats large number of chest trauma patients. Most patients need only chest tube placement as a definitive treatment.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

2012

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“…It is a very rare complication of a blunt thoracic trauma [1,2]. It is caused by an acceleration-deceleration trauma [2,3]. Very often tracheal rupture is associated with other life-threatening injuries, so that most patients die at the scene of the accident.…”

Section: Discussionmentioning

confidence: 99%

“…Very often, tracheal rupture is associated with tracheobronchial rupture, pneumothorax, or pneumomediastinum [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

Tracheal Rupture After Blunt Trauma

Vantroyen¹,

Baetselier²

2008

Eur J Trauma Emerg Surg

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Tracheal injuries are uncommon after blunt trauma. Early diagnosis and urgent treatment are primordial to reduce both mortality and morbidity. We describe the case of a 45-year-old man who met with a traffic accident and was brought to the emergency department. Progressively, he developed dyspnoea and coughing. The diagnosis of a tracheal rupture was established and the rupture was closed surgically. The management of the patient with suspected tracheal rupture is discussed.

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“…This same pleuroperitoneal pressure gradient will also promote migration of intraperitoneal structures into the pleural space after disruption has occurred. Once the viscera have been displaced into the pleural space, both cardiovascular and respiratory functions are compromised [8] ( Figure 3). The pathophysiologic effects of ruptured/ acquired diaphragm are on circulation and respiration.…”

Section: Diagnosismentioning

confidence: 99%

A review on Traumatic diaphragmatic ruptur

Lundgren¹,

Sh²,

Ar³

et al. 2017

Trauma Emerg Care

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Historical Vignette: Traumatic diaphragmatic hernia apparently was described by Sennertus, who in 1541 reported an instance of delayed herniation of viscera through an injured diaphragm. The first two deaths were described by Ambrose Paré in 1578, one from strangulated bowel. Ambroise Paré, in 1579, described the first case of diaphragmatic rupture diagnosed at autopsy. The patient was a French artillery captain who initially survived a gunshot wound of the abdomen, but died 8 months later of a strangulated gangrenous colon, herniating through a small diaphragmatic defect that would admit only the tip of the small finger. It was not until 1853 that ante mortem diagnosis of traumatic rupture of diaphragm was made by Bowditch. The first successful diaphragmatic repair was reported by Riolfi in 1886 in a patient with omental prolapse, and Naumann in 1888 repaired the defect with herniated stomach. The largest and the most comprehensive collective review was

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Blunt chest trauma

Cited by 98 publications

References 433 publications

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

Tracheal Rupture After Blunt Trauma

A review on Traumatic diaphragmatic ruptur

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