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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.

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Pulmonary hemorrhage Pulmonary hemorrhage. Computed tomography CT is very sensitive for diagnosing pulmonary contusion. Eur Respir J Suppl.

Contusión pulmonar tras RCP valorada por ecografía

From contusiion to critical care”. N Engl J Med. Stern EJ, White C. Producto de ello se puede formar una cavidad llena de sangre, aire, o ambos.

People with pulmonzr of inadequate respiration or oxygenation may need to be intubated [7] and mechanically ventilated. Full text is only aviable in PDF.

Pulmonary lacerationin which lung tissue is torn or cut, differs from pulmonary contusion in that the former involves disruption of the macroscopic architecture of the lung, [1] while the latter does not. Pleural complications, such as hemothorax and pneumothorax, are also frequent. cotusion

Bronchiolitis obliterans organizing pneumonia. Lung Contusion and Surfactant Dysfunction Aufmkolk et al. Tienden para ser grandes, variando en medida de 2—8 cm. However, it is known that lung tissue contjsion be crushed when the chest wall bends inward on impact.

Traumatismos torácicos | Archivos de Bronconeumología (English Edition)

Pulmonary ultrasoundperformed at the bedside or on the accident scene, is being explored as a diagnosis for pulmonary contusion. Recommendations of Diagnosis and Treatment of Pleural Thoracic Trauma and Critical Care. This ratio is reduced in pulmonary contusion. Essentials of Pulmonary and Critical Care Medicine. For example, if breathing is severely compromised, mechanical ventilation may be necessary. The physical processes behind pulmonary contusion are poorly understood.


Chest X-ray is the most common method used for diagnosis, [37] and may be used to confirm a diagnosis already made using clinical signs. One technique that has been shown to be promising in military casualties is extracorporeal removal of carbon dioxide [ 90 cintusion, but there is limited evidence to support its efficacy.

Advanced trauma life puomonar Trauma surgery Trauma center Trauma team Damage control surgery Early appropriate care. Radiology abstract – Pubmed citation. Archived from the original PDF on 25 February Chest Trauma Pulmonary Contusion.

Features are often not localised in a lobar or segmental pattern. The amount of energy transferred to the lung is determined in a large ocntusion by the compliance flexibility of the chest wall. Thorac Surg Clin, 17pp. Pulmonnar pulmonary shunt occurs when the alveoli are filled with fluid; causing parts of the lung to be unventilated even if they are still perfused [ 72 ]. Inthe Italian anatomist Giovanni Battista Morgagni was first to describe a lung injury that was not accompanied by injury to the chest wall overlying it.

Cardio-pulmonary function after pulmonary contusion and partial liquid ventilation. Surg Clin North Am, 69pp. Clearance of secretions is decreased with pulmonary contusion, and this is augmented by any chest wall injury and mechanical ventilation.


When the compliance of the injured lung differs significantly from pulmmonar of the uninjured one, the lungs can be ventilated independently with two ventilators in order to deliver air at different pressures; this provides adequate ventilation and prevents the injury of uninvolved lung from overinflation [ 81 ]. This article has been cited by other articles in PMC. Consultado el 1 de mayo de Histopathological evaluation of the lung tissue at 8 min, 4 hr, and 12 hr post-contusion revealed diffuse intra-alveolar hemorrhage with alveolar disruption, along with interstitial hemorrhagic injury that frequently involve peri-hilar areas and extended to the visceral surface of the pleura.

Review of the literature and description pjlmonar a new porcine model”. Typical signs and symptoms include direct effects of the physical trauma, such as chest pain and coughing up bloodas well as conthsion that the body is not receiving enough oxygen, such as cyanosis.

Pulmonary contusion can result in respiratory failure—about half of such cases occur within a few hours of the initial trauma. Contuison Comprehensive Study Guide. Diagnostic peritoneal lavage Focused assessment with sonography for trauma. Emerg Med J, 22pp. Textbook of Pediatric Emergency Medicine. Most contusions that are visible only on CT scan are not clinically relevant, in that they are not large enough to impair gas exchange and worsen the outcome.