lung contusion: a clinico-pathological entity with unpredictable clinical course

نویسندگان

farooq ahmad ganie department of cardiovascular and thoracic surgery, sher-i-kashmir institute of medical sciences (skims), soura, kashmir, india.

hafeezulla lone department of cardiovascular and thoracic surgery, sher-i-kashmir institute of medical sciences (skims), soura, kashmir, india.

ghulam nabi lone department of cardiovascular and thoracic surgery, sher-i-kashmir institute of medical sciences (skims), soura, kashmir, india.

mohd lateef wani department of cardiovascular and thoracic surgery, sher-i-kashmir institute of medical sciences (skims), soura, kashmir, india.

چکیده

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 blood and other fluids within the lung tissue. the excess fluid interferes with gas exchange leading to hypoxia. the pathophysiology of lung contusion includes ventilation/perfusion mismatching, increased intrapulmonary shunting, increased lung water, segmental lung damage, and a loss of compliance. clinically, patient’s presents with hypoxiemia, hypercarbia and increase in laboured breathing. patients are treated with supplemental oxygen and mechanical ventilation whenever indicated. treatment is primarily supportive. computed tomography (ct) is very sensitive for diagnosing pulmonary contusion. pulmonary contusion occurs in 25–35% of all blunt chest traumas.

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عنوان ژورنال:
bulletin of emergency and trauma

جلد ۱، شماره ۱ JAN، صفحات ۷-۱۶

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