La contusión pulmonar es la lesión visceral más frecuente. Suele presentarse en TT graves y a menudo asociada a otras lesiones torácicas e intratorácicas. Lung contusion is an entity involving injury to the alveolar capillaries, without any tear or cut in the lung tissue. This results in accumulation of. World J Surg. Aug;34(8) doi: /s Pulmonary contusion: an update on recent advances in clinical management.

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Lung Contusion: A Clinico-Pathological Entity with Unpredictable Clinical Course

Radiology for Anaesthesia and Intensive Care. A Comprehensive Study Guide. Post-contusion fibrosis around bronchioles predominates after 7 days [ 35 ].

Prentice D, Ahrens T. Case 4 Case 4. Often nothing more than supplemental oxygen and close monitoring is needed; however, intensive care may be required. Computed tomography CT scanning is a more sensitive pulmonzr for pulmonary contusion, [6] [33] and it can identify abdominalchest, or other pulmohar that accompany the contusion. Lung protective ventilation processes frequently lead to hypercarbia and acidosis. From triage to critical care”.

In the present article, these injuries are discussed according to the involvement of the various thoracic structures. Pulmonary contusion or its complications such as acute respiratory distress syndrome may cause lungs to lose compliance stiffenso higher pressures may be needed to give normal amounts of air [4] and oxygenate the blood adequately.

Contusión pulmonar tras RCP valorada por ecografía | Revista Española de Cardiología

Pneumonia is also a common complication of pulmonary contusion, blood in the alveolar spaces providing an excellent culture medium for bacteria. This ratio is reduced in pulmonary contusion. Thank you for updating your details. In first 24 hrs following LC injury neutrophilic response predominates, but progresses largely to monocytic response by 48 hr post-contusion [ 3540 ]. Archived from the original PDF on 25 February Pulmonary contusion received further attention during World War II, when the bombings of Britain caused blast injuries and associated respiratory problems in both soldiers and civilians.


Chest trauma Medical emergencies Lung disorders. Pulmonary contusion can result in respiratory failure—about half of such cases occur within a few hours of the initial trauma.

Jorge Freixinet Gilart a ,?? Retrieved from ” https: Reversibility of lung collapse and hypoxemia in early acute respiratory distress syndrome. The following aspects are considered for the diagnosis of pulmonary contusion: Other chest injuries, such as those of the great thoracic and esophageal vessels, are less frequent but are especially severe.

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Early and late acute respiratory distress syndrome: Sub-Acute Pathological Changes in Lung Contusion Conutsion sub-acute pathological changes, relevant to LC injury, bronchiolitis obliterans organizing pneumonia BOOP is characterized by the proliferation of granulation tissue within small airways and alveolar ducts [ 44 ].

This blunt lung injury develops over the course of 24 hours, leading to poor gas exchange, increased pulmonary vascular resistance and decreased lung compliance. Diagnostic peritoneal lavage Focused assessment with sonography contusipn trauma.

From bench to bedside: Pulmonary and respiratory complications of pediatric trauma. Positive pressure ventilationin which air is forced into the lungs, is needed when oxygenation is significantly impaired. Protection of the lung from blast overpressure by thoracic stress wave decouplers. Consultado el 26 de abril de The Physiologic Basis of Surgery. Tienden para ser grandes, variando en medida de 2—8 cm. As a result of damage to capillariesblood and other fluids accumulate in the lung tissue.


Journal of Trauma and Acute Care Surgery.

Emerg Med Clin North Am. Consultado el 21 de abril de Surg Clin North Am, 69pp. Management of a blunt chest injury therefore includes adequate and appropriate analgesia. An initial trauma chest radiograph may be normal.

The dontusion of isolated, bilateral lung contusion from blunt chest trauma in rats: Journal of the American College of Surgeons. Most contusions will require no specific therapy.

Pulmonary contusion

In most cases, the findings are manifest at the time of the initial examination and show little tendency to increase in severity with subsequent examinations. Treatment is always surgical. Pulmonary contusion can cause parts of the lung to consolidatealveoli to collapse, and atelectasis partial or total lung collapse to occur. It is the most common type of lung injury in blunt chest trauma [ 20 ].

J Am Coll Surg,pp. Flail contusiob and pulmonary contusion. Severe inflammatory response can bring about pulmonary dysfunction as in acute respiratory distress syndrome [ 54 ].

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