[Morphological changes after lung trauma].
Post traumatic pleuro-pulmonary lesions can be divided into 3 phases: Acute phase I--several days to one week--with superficial pleuro-pulmonary defects as a main cause for pneumo-hematothorax, intrapulmonary hematoma from rhexis bleeding of parenchymal vessels, tearing of bronchi and vessels. Latency phase II--1-4 weeks with complications caused by inflammatory overlap, contusion pneumonia, development of fistulae, internal aspiration. Late phase III--1 month to years--special variant of rounded hematoma, pleural inflammation for example in fistulae up to scarring fibrosis. Inflammatory complications and development of ARDS with subsequent complications in the traumatically pre-damaged pulmonary organ.
Müller
K M
KM
Institut für Pathologie, Berufsgenossenschaftliche Kliniken Bergmannsheil, Ruhr-Universität Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum.
D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000473:pathology; D055370:Lung Injury; D010994:Pleura / Q000293:injuries / Q000473:pathology; D012128:Respiratory Distress Syndrome / Q000473:pathology; D013898:Thoracic Injuries / Q000473:pathology*; D014945:Wound Healing / Q000502:physiology