Diferencia entre revisiones de «Hemothorax»

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*From trauma
==Background==
*Typically from trauma
*Each hemithorax and hold 40% of circulating blood volume
*Each hemithorax and hold 40% of circulating blood volume
==Diagnosis==
*CXR
*CXR
**Hemithorax is completely opacified
**Hemithorax is completely opacified
***Mainstem bronchus intubation can appear like a hemorthorax on CXR
***Mainstem bronchus intubation can appear like a hemorthorax on CXR
*Tx
 
==Treatment==
**Tube thoracostomy
**Tube thoracostomy
***Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management
***Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management

Revisión del 02:49 17 jul 2011

Background

  • Typically from trauma
  • Each hemithorax and hold 40% of circulating blood volume

Diagnosis

  • CXR
    • Hemithorax is completely opacified
      • Mainstem bronchus intubation can appear like a hemorthorax on CXR

Treatment

    • Tube thoracostomy
      • Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management
    • Autotransfuse lost blood if possible

See Also