Pulmonary contusion: clinical reasoning

According to statistics, chest injuries rank third in prevalence and are characterized by high mortality, which is 35 – 45%. This article presents a patient diagnosed treated for bilateral pulmonary contusion with post-traumatic pneumonitis after combined mine-explosive injury. Purpose. Of particular interest the clinician understanding of lung injury from standpoint interpretation diagnosis, methods differential diagnosis pneumonia, prevention complications, rational treatment tactics. The terms “pneumonitis” “pneumonia” not synonymous. In modern terminology, it customary use term pathologic process alveoli without an infectious vast majority cases, forms inflammation referred as pneumonia. this clinical case (and similar situations), advisable take into account pathogenesis changes tissue contusion, leading pneumonitis, often requires additional specific therapy rehabilitation rapid recovery function. Proper tactics prescribing anti-inflammatory antibacterial drugs critical, aimed at preventing including fibrous lung. Conclusion. Given relevance topic, currently introduce monitoring CRP procalcitonin levels, coagulogram, gas composition arterial blood, if necessary, management. It computed tomography clarify nature changes. problem follow-up patients relevant.