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Abstract:

Aim. Was to study X-ray computer tomography (X-CT) semiotics of lungs injure in patients with closed thoracic trauma.

Materials and methods. For the period of 2008-2009 in Moscow Institute of Emergency First Aid we have examined 90 patients with different forms of pulmonary hemorrhage: aged 15-83 years (middle age 33,8); 71 men (78,9%) and 19 women (21,1%).The diagnosis was established due to X-CT

Results. All the patients had pulmonary bruise with different Intensity and prevalence on the 1st day In 67% patients it was combined with bleeding or/and gas in the depth of lungs - hematoma, hemopneumatocele, pneumatocele. Supervision in dynamics showed gradually regression of bruise lesions and traumatic caverns structure transformation

Conslution. X-CT in patients with closed thoracic trauma can specify the localization, characteristic and volume of pulmonary injure; it can also document pathologic process in dynamics.
 

 

References 

1.      Ермолов А.С. Основные принципы диагностики и лечения тяжелой сочетанной травмы. 80 лекций по хирургии. Под ред. В.С.   Савельева.   М.:   Литтерра.   2008;507-514

2.      Collins J. Chest wall trauma. J. Thorac. Imaging. 2000; 15: 112-119.

3.      Miller D.L., Mansour K.A. Blunt traumatic lung injuries. Thorac. Surg. Clin. 2007; 17: 57-61.

4.      Неотложная лучевая диагностика механических повреждений. Руководство для врачей. Под ред. В.М. Черемисина, Б.И. Ищен-ко. С.-Пб.: Гиппократ. 2003; 448.

5.      Marts B. et al. Computed tomography in the diagnosis of blunt thoracic injury. Am. J. Surg. 1994; 168: 688-692.

6.      Wanek S., Mayberry J.C. Blunt thoracic trauma. Flail chest, pulmonary contusion and blast injury. Crit. Care. Clin. 2004; 20: 71-81.

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