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Introduction of Hemothorax, Clinical Aspects of Hemothorax, Diagnostic Assessment of Hemothorax, Clinical Findings of Hemothorax and Differential Diagnosis of Hemothorax
Abstract
The term hemothorax is nothing but the entry of pleural fluid and blood particularly into the pleural space. Causes of hemothorax include trauma, piercing, pulmonary embolism, ruptured aortic aneurism. Iatrogenic hemothorax happens because of a complication of cardio pulmonary surgery, placement of subclavian or jugular catheter or lung and pleural - necropsies. Lung contains two layers namely visceral pleura and parietal pleura. These layers of pleura divide to each other to maintain the lung from prevention of collapsing along with the expiration of air from the lungs. Pneumothorax occurs due to the entry of air into the lungs. Clinical aspects of hemothorax are casket pain, cold dyspnea, fever. Reddishness, tachycardia. Diagnosis is based on history, physical examination, ultra sound, casket X- ray, CT scan and MRI. Physioltherapy managenebt include ventilation, oxygenation and to re - inflate atelectatic lung areas. Differential diagnosis of blunt chest trauma is categorized into three types such as cardio vascular injuries, skeletal injuries and visceral injuries.
References
Brooks, A., Davies, B., Smethhurst, M., & Connolly, J. (2004). Emergency ultrasound in the acute assessment of haemothorax. Emergency Medicine Journal, 21(1), 44-46.
Stengel, D., Leisterer, J., Ferrada, P., Ekkernkamp, A., Mutze, S., & Hoenning, A. (2018). Point‐of‐care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma. Cochrane database of systematic reviews, (12).
Abboud, P. A. C., & Kendall, J. (2003). Emergency department ultrasound for hemothorax after blunt traumatic injury. The Journal of emergency medicine, 25(2), 181-184.
McEwan, K., & Thompson, P. (2007). Ultrasound to detect haemothorax after chest injury. Emergency Medicine Journal, 24(8), 581-582.
Staub, L. J., Biscaro, R. R. M., Kaszubowski, E., & Maurici, R. (2018). Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: a systematic review and meta-analysis. Injury, 49(3), 457-466.
Rahimi-Movaghar, V., Yousefifard, M., Ghelichkhani, P., Baikpour, M., Tafakhori, A., Asady, H., ... & Safari, S. (2016). Application of ultrasonography and radiography in detection of hemothorax; a systematic review and meta-analysis. Emergency, 4(3), 116.
Vafaei, A., Hatamabadi, H. R., Heidary, K., Alimohammadi, H., & Tarbiyat, M. (2016). Diagnostic accuracy of ultrasonography and radiography in initial evaluation of chest trauma patients. Emergency, 4(1), 29.
Broderick, S. R. (2013). Hemothorax: Etiology, diagnosis, and management. Thoracic surgery clinics, 23(1), 89-96.
Boersma, W. G., Stigt, J. A., & Smit, H. J. (2010). Treatment of haemothorax. Respiratory medicine, 104(11), 1583-1587.
Goodman, M., Lewis, J., Guitron, J., Reed, M., Pritts, T., & Starnes, S. (2013). Video-assisted thoracoscopic surgery for acute thoracic trauma. Journal of Emergencies, Trauma, and Shock, 6(2), 106.
Özdil, A., Kavurmacı, Ö., Akçam, T. İ., Ergönül, A. G., Uz, İ., Şahutoğlu, C., ... & Çağırıcı, U. (2018). A pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax. Ulus Travma Acil Cerrahi Derg, 24(6), 521-527.
Sirmali, M., Türüt, H., Topçu, S., Gülhan, E., Yazici, Ü., Kaya, S., & Taştepe, I. (2003). A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. European Journal of Cardio-Thoracic Surgery, 24(1), 133-138.
Ota, K., Fumimoto, S., Iida, R., Kataoka, T., Ota, K., Taniguchi, K., ... & Takasu, A. (2018). Massive hemothorax due to two bleeding sources with minor injury mechanism: a case report. Journal of Medical Case Reports, 12(1), 1-5.
Morley, E. J., Johnson, S., Leibner, E., & Shahid, J. (2016). Emergency department evaluation and management of blunt chest and lung trauma (Trauma CME). Emergency medicine practice, 18(6), 1-20.
Chou, Y. P., Lin, H. L., & Wu, T. C. (2015). Video-assisted thoracoscopic surgery for retained hemothorax in blunt chest trauma. Current opinion in pulmonary medicine, 21(4), 393.
Scott, M. F., Khodaverdian, R. A., Shaheen, J. L., Ney, A. L., & Nygaard, R. M. (2017). Predictors of retained hemothorax after trauma and impact on patient outcomes. European Journal of Trauma and Emergency Surgery, 43, 179-184.
Preuss, C. V., Kalava, A., & King, K. C. (2021). StatPearls [Internet] StatPearls Publishing. Treasure Island (FL): Aug, 31.
Jain, A., Sekusky, A. L., & Burns, B. (2021). Penetrating chest trauma. In StatPearls [Internet]. StatPearls Publishing.
Richards, J. R., & McGahan, J. P. (2017). Focused assessment with sonography in trauma (FAST) in 2017: what radiologists can learn. Radiology, 283(1), 30-48.
Hyacinthe, A. C., Broux, C., Francony, G., Genty, C., Bouzat, P., Jacquot, C., ... & Payen, J. F. (2012). Diagnostic accuracy of ultrasonography in the acute assessment of common thoracic lesions after trauma. Chest, 141(5), 1177-1183.
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