Hemotórax Masivo. – Tórax Inestable. – Taponamiento Cardiaco. Feliciano DV, Mattox KL et al. Trauma. 6th edition. McGraw Hill; Trauma. Download Citation on ResearchGate | On Jan 31, , María José Valenzuela Martínez and others published Hemotórax masivo posterior a trauma torácico. Se describe el caso de un paciente de 55 anos afecto de un tromboembolismo pulmonar que desarrollo un hemotorax masivo mientras estaba sometido a.

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A tension hemothorax refers to hemothorax that results from massive intrathoracic bleeding, causing ipsilateral lung compression and mediastinal displacement 9. Pleural fluid attenuation measurement should be routine in the interpretation of chest trauma CT to distinguish simple fluid from acute blood.

Diaphragmatic injury presenting as delayed hemothorax.

Chest radiograph after 48 h: There were also no abdominal findings of interest. Initial management involves rapid substitution of blood loss and decompression of the thoracic cavity using a chest drain. Management of post-traumatic retained hemothorax: Ross RM, Cordoba A. Blood in the pleural space typically has an attenuation of HU 6.

Auscultation showed abolition of the vesicular murmur in the lower two-thirds of the left hemithorax. Lateral thoracotomy was performed in the 5th intercostal space, and a massive haemothorax was evacuated cc with abundant lavage. The patient was hospitalised for further monitoring and analgesia.

Thank you for updating your details. The exact management strategy will depend on underlying etiology. Prior to the accident, the patient had been healthy and had no medical history of interest. Delayed life-threatening hemothorax associated with rib fractures. We confirmed displaced fractures of the 5th to 7th ribs.


This can occur in the setting of Mild oedema and emphysema of the wall were observed with minimal hemotorwx pleural effusion. The selection of the surgical approach is essential in this situation and is defined by the initial suspicion of the injury and the understanding of the exposure offered by the incision. Another chest radiograph verified the correct placement of the chest drain but no lung re-expansion.

The use of CT scans in massive haemothorax is excluded because of the patient instability with this condition.

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A hemothorax can also result without any trauma and, in these situations, it is termed a spontaneous hemothorax. Se continuar a navegar, consideramos que aceita o seu uso. The Impact Factor measures the average number of citations received masivi a particular year by papers published in the journal during the two receding years.

The patient reported no cranial trauma or injuries to other areas.

Unable to process the form. Late clotted haemothorax after blunt chest trauma. It can be almost impossible to differentiate a hemothorax from other causes of pleural effusions. Physical examination showed a permeable airway and sharp pain in the ribs during inspiration, with crepitation of the left ribcage and no observed flail chest.

Free text at pubmed – Pubmed citation 3. Massive haemothorax also involves comprised respiratory function due to the deficient lung expansion that impedes adequate ventilation and hypoxaemia. During the examination of multiple trauma patients, haemodynamic instability associated with hypovolemic shock, accompanied by absence of hemotprax murmur and dullness to percussion in the hemithorax, masjvo diagnostic of massive haemothorax all of which were present in this case.


Una herida penetrante en el traumatismo cerrado.

Hemotórax masivo by karen bautista on Prezi

Chest wall closure was performed with the insertion of 2 chest drains. Read it at Google Books – Find it at Amazon 2. Delayed hemothorax after blunt thoracic trauma: Hemothorax due to rupture of pulmonary arteriovenous malformation: You can change the settings or obtain more information by clicking here.

It also enabled us to explore the entire chest cavity, parenchyma and hilum in order to rule out any concomitant injuries. Chest radiograph showed evidence of moderate-severe pleural effusion Fig. Cases of massive, late-onset and sudden haemothorax described in the literature are always associated with displaced lower rib fractures.

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This situation, together with the accompanying hypovolemic shock, is life-threatening. Show more Show less. It is essential to always monitor early signs of hypovolemic shock and maintain a ,asivo index of suspicion.