Medical Archive

Chest trauma

• 1. Result : ??? ?? ?? ???
• 2. Pul. Contusion
  • Pneumatocele? ??? ? ???? ???
• 3. Rib Fx and Flail chest
  • Pain, atelectasis
  • Flail chest : paradoxical movement
  • ??
    • i. int. fixation : ventilation care
    • ii. Operative fixation
• 4. Sternal Fx
• a. XR<CT, ??? supportive pain control
• b. Unstable???, 6????? ??? surgical
• 5. Traumatic pneumonia

• • CT? ?? ??? ?? ??
• Traumatic hemothorax
  1. • CT? ??… lung contussion? ??? ???
  2. • ?? ?? thoracotomy? ??
• Traumatic chylothorax

• a. ?? : Iatrogenic injury – m/c
• b. ?? : ??, NPO/TPO
• 8. Traumatic lung herniation

• • Repair of lacerated lung!
• Pneumomediastinum
  1. • Alveolar rupture: m/c
  2. • ???? ?. But ??? ???.. ??? ?????
• Aortic rupture
  1. •  Aortic isthmus: m/c
  2. • ??? ?? ??.. ??? ?? ??????.
• Diaphragmatic injuries – pneumopericardium
  1. • ?>?. ??? ????? trauma
  2. •

?: laparotomy

?: thoracotomy

• Esophageal rupture
  1. • By instruments: m/c. contrast? oral? ??? ? extravasation? ??
  2. •  Boerhaave’s syndrome

• • ??(or ??) ??? ???? ? (Barotrauma)
• • Full layer? ???. ?? ??? ??.
• • Drain + Anti + NPO ± Sutures

Centesis / Thoracostomy / Thoracotomy

Pleurodesis / Decortication