[Primary diagnosis and follow-up after thoracic trauma and lung contusion].
In 212 patients after injury of the thorax (54 males, 158 females; penetrating (15), blunt (197), multiple trauma (128)) 158 cases demonstrated rib fractures and 103 radiological proven pneumo- or hematothoraces or sometimes both, 108 of 138 had to be drained. 96.5% of the effusions and 98% of the pneumothoraces were clinical confirmed. 93.5% of 97 pulmonary contusions (79 unilateral, 18 bilateral) were detected by bronchoscopy within 10 h, 72% by x-ray. Caused by anatomical problems or for additional diagnosis 4 patients underwent thoracic CT. During ICU treatment 31 patients developed septic complications without detection in x-ray studies. In CT (n = 64) we found: 5 empyema, 13 pleural effusions, 4 pneumothoraces, 4 pneumocysts, 72 condensations of a lobe. After CT we performed: 9 resections of the lower lobe, 1 pneumectomy, 1 decortication, 7 thoracotomies with drainage, 8 drainages. To detect a septic focus under treatment the CT proved being an important diagnostic tool in chest trauma and lung contusion.
Dresing
K
K
Abteilung für Unfallchirurgie, Universitätsklinikum Essen.
Sievers
K W
KW
Obertacke
U
U
Reicke
B
B
Schmit-Neuerburg
K P
KP
D000328:Adult; D001999:Bronchoscopy; D003422:Critical Care; D005260:Female; D006491:Hemothorax / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis* / Q000601:surgery; D011013:Pneumonectomy; D011030:Pneumothorax / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D012253:Rib Fractures / Q000175:diagnosis / Q000601:surgery; D013898:Thoracic Injuries / Q000175:diagnosis* / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000601:surgery
Primär- und Verlaufsdiagnostik nach Thoraxtrauma und Lungenkontusion.