지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.5 No.1
- 발행연도
- 2018.1
- 수록면
- 60 - 65 (6page)
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초록· 키워드
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Delayed massive hemothorax requiring surgery is relatively uncommon and can potentially be life-threatening. Here, we aimed to describe the nature and cause of delayed massive hemothorax requiring immediate surgery. Over 5 years, 1,278 consecutive patients were admitted after blunt trauma. Delayed hemothorax is defined as presenting with a follow-up chest radiograph and computed tomography showing blunting or effusion. A massive hemothorax is defined as blood drainage >1,500 mL after closed thoracostomy and continuous bleeding at 200 mL/hr for at least four hours. Five patients were identified all requiring emergency surgery. Delayed massive hemothorax presented 63.6±21.3 hours after blunt chest trauma. All patients had superficial diaphragmatic lacerations caused by the sharp edge of a broken rib. The mean preoperative chest tube drainage was 3,126±463 mL. We emphasize the high-risk of massive hemothorax in patients who have a broken rib with sharp edges.
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등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Huber S / 2014 / Predictors of poor outcomes after significant chest trauma in multiply injured patients: a retrospective analysis from the German Trauma Registry (Trauma Register DGU) / Scand J Trauma Resusc Emerg Med 22:52
Chen CL / 2014 / Delayed massive hemothorax complicating simple rib fracture associated with diaphragmatic injury / Am J Emerg Med 32:818
Al-Koudmani I / 2012 / Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases / J Cardiothorac Surg 7:35
Sharma OP / 2005 / Prevalence of delayed hemothorax in blunt thoracic trauma / Am Surg 71:481~486
Misthos P / 2004 / A prospective analysis of occult pneumothorax, delayed pneumothorax and delayed hemothorax after minor blunt thoracic trauma / Eur J Cardiothorac Surg 25:859~864
Chen CL / 2014 / Delayed massive hemothorax complicating simple rib fracture associated with diaphragmatic injury / Am J Emerg Med 32:818
Al-Koudmani I / 2012 / Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases / J Cardiothorac Surg 7:35
Sharma OP / 2005 / Prevalence of delayed hemothorax in blunt thoracic trauma / Am Surg 71:481~486
Misthos P / 2004 / A prospective analysis of occult pneumothorax, delayed pneumothorax and delayed hemothorax after minor blunt thoracic trauma / Eur J Cardiothorac Surg 25:859~864
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