title: [Traumatic lung injury].
abstract: Pulmonary injuries include a wide variety of clinical conditions. Most patients with blunt chest trauma can be managed with conservative treatment. Only about 10 to 15% of patients with severe chest injuries require major thoracotomy. Management of pulmonary contusion, pulmonary laceration, pneumothorax or hemothorax by oxygen inhalation, respirator assist and chest drainage can usually result in complete recovery. However, pulmonary injuries sometimes lapse into fatal condition if they are improperly treated. Open thoracotomy is required in cases with persistent massive air leakage or massive bleeding with the use of chest drainage. It is crucial to evaluate the extent and severity of the injuries based on chest X-ray and computed tomography (CT) findings for the proper initial treatment in patients with pulmonary injuries.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Hara
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Yoshimura
mesh_terms: D000328:Adult; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013898:Thoracic Injuries / Q000145:classification* / Q000000981:diagnostic imaging / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*