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.

Author: Nejora Yozshuhn
Country: Chile
Language: English (Spanish)
Genre: Relationship
Published (Last): 8 July 2008
Pages: 445
PDF File Size: 7.8 Mb
ePub File Size: 13.80 Mb
ISBN: 305-1-90158-313-5
Downloads: 87577
Price: Free* [*Free Regsitration Required]
Uploader: Bralabar

Pulmonary contusion: an update on recent advances in clinical management.

Pulmonary contusion is usually accompanied by other injuries. Radiology of the Chest and Related Conditions: Current Opinion in Critical Care. Conthsion J Thorac Cardiovasc Surg. Consultado el 6 de mayo de Flail chest, pulmonary contusion, and blast injury”. Crit Care Nurs Q. Intubation and mechanical ventilation are often required to ameliorate the derangements in gas exchange, lung compliance and work of breathing.

Pulmonary contusion – Wikipedia

Toll-like receptor 2 participates in the response to lung injury in a murine model of pulmonary contusion.

Activity and inhibition resistance of a phospholipase-resistant synthetic exogenous surfactant in excised rat lungs. Stern EJ, White C. Su tratamiento es conservador. Retaining secretions in the airways can worsen hypoxia [60] and lead to pulomnar. Physiotherapy for Respiratory and Cardiac Problems. J Med Case Reports. L pulmonary contusion L pneumothorax. Loading Stack – 0 images remaining. There is decreased exercise tolerance contuwion 16 ].

Managment of pulmonary contusion is supportive while the pulmonary contusion resolves. Multidetector CT of blunt thoracic trauma. 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. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.


CT also allows for 3-dimensional assessment and calculation of the size of contusions. Views Read Edit View history. Smith M, Ball V. Chest physical therapy for patients in the intensive care unit. A CT scan pulmonxr a pulmonary contusion red arrow accompanied by a rib fracture blue arrow.

Clinically, patients have hypoxiemia, hypercarbia and increase in labored breathing of varying severity and duration [ 7 ]. Pulmonary contusions that accompany gun and knife wounds are not usually severe enough to have a major effect on outcome; [25] penetrating trauma causes less widespread lung damage than does blunt trauma.

Classification of parenchymal injuries of the lung. Prevention of pulmonary contusion is similar to that of contusikn chest trauma.

Tracheal intubation and mechanical ventilation may be necessary if there is difficulty in oxygenation or ventilation. At 48 hr, neutrophilic infiltration still predominates, while alveolar lining tissue is thickened with an increase in alveolar macrophage and cellular debris [ 35 ].

In first 24 hrs following LC injury neutrophilic response predominates, but progresses largely to monocytic response by 48 hr post-contusion [ 3540 ]. The lung and pediatric trauma. ARDS after pulmonary contusion: Textbook of Pediatric Emergency Medicine. Pul,onar chest, pulmonary contusion, and blast injury. Consultado el 1 de mayo de Good tracheal toilet and pulmonary care is essential to minimise the incidence of pneumonia in this susceptible group.


Normally, the ratio of ventilation to perfusion is about one-to-one; the volume of air entering the alveoli ventilation is about equal to that of blood in the capillaries around them perfusion. Essentials of Pulmonary and Critical Care Medicine. Management of instrumental perforations of the esophagus.

Oleic acid-induced lung injury is not neutrophil-dependent despite their presence in large number in the lungs [ 37 ].

Improvements with intravenous corticosteroids, antioxidants and exogenous surfactants in LC have been noted in animal models [ 48 ], but this has not been extrapolated to clinical studies in patients with LC. Pulmonary contusion, Blunt chest trauma, Computed tomography CT ventilation. More common posteriorly and in lower lobes.

Pain control is another means to facilitate the elimination of secretions. Chest Imaging in Infants and Children.

Laceración pulmonar – Wikipedia, la enciclopedia libre

Sometimes the true extent of contusion is not apparent on plain film until hours following injury. Pleural complications, such as hemothorax and pneumothorax, are also frequent. Consultado el 3 de mayo de The main complications of pulmonary contusion are ARDS and pneumonia.

Journal of the American College of Surgeons. In other projects Wikimedia Commons. Blunt trauma thorax is more common in males than in females [ 86 ].