title: [Diagnostics and treatment of pulmonary hemorrhage by the closed thoracic trauma].
abstract: Results of diagnostic and treatment of 156 patients with pulmonary hemorrhage, caused by the closed thoracic trauma, were analyzed. All patients had lung bruise, 101 of them had lung rupture. 115 (73.7%) patients demonstrated hemopneumothorax, bleeding was diagnosed in 86 (55.1%) cases and mediastinal emphysema was diagnosed in 52 (33.3%). Pulmonary hemorrhage developed more often by polytrauma of the chest, rather then by solitary lesions. Spiral computed tomography proved to be the best diagnostic means of thoracic trauma. Surgical tactics was defined mainly by the severity of intrapleural or pulmonary bleeding. Conservative treatment allowed successful recovery in the majority of patients. Only 5.1% of patients required surgery. High level of septic complications of pulmonary hemorrhage was registered/ Pneumonia developed in 28.8% and lung abscess was diagnosed in 14.1% of patients. The lethality rate was 9.6%.
authors.forename: Sh N
authors.initials: ShN
authors.lastname: Danielian
authors.forename: M M
authors.initials: MM
authors.lastname: Abakumov
authors.forename: I E
authors.initials: IE
authors.lastname: Popova
authors.forename: F A
authors.initials: FA
authors.lastname: Sharifullin
authors.forename: O V
authors.initials: OV
authors.lastname: Kwardakova
authors.forename: T P
authors.initials: TP
authors.lastname: Pinchuk
authors.forename: A A
authors.initials: AA
authors.lastname: Saprin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006468:Hemopneumothorax / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D055370:Lung Injury / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D012189:Retrospective Studies; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult