Pneumomediastinum and pneumopericardium following blunt thoracic trauma: much ado about nothing?
| Autor: | David J. J. Muckart, Timothy Craig Hardcastle, D.L. Skinner |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Flail chest Adolescent Thoracic Injuries Pneumopericardium Thoracostomy Critical Care and Intensive Care Medicine Wounds Nonpenetrating Young Adult Blunt Injury Severity Score medicine Humans Orthopedics and Sports Medicine Pneumomediastinum Child Mediastinal Emphysema Aged Retrospective Studies business.industry Mortality rate Mediastinum Middle Aged medicine.disease Surgery medicine.anatomical_structure Pneumothorax Child Preschool Emergency Medicine Female Radiography Thoracic business Tomography X-Ray Computed |
| Zdroj: | European journal of trauma and emergency surgery : official publication of the European Trauma Society. 45(5) |
| ISSN: | 1863-9941 |
| Popis: | Pneumomediastinum is the hallmark of intrathoracic aerodigestive trauma, but rare following blunt injury. Aim: review of blunt thoracic trauma (BTC) for the incidence and outcome of patients with pneumomediastinum or pneumopericardium (PM/PC) on Computerised Tomographic scanning. Admissions to the level I trauma ICU at IALCH, Durban, ZA following BTC from April 2007 to March 2014. Patients with Chest-CT-scan were analysed. Variables included age, sex, mechanism of injury, and Injury Severity Score (ISS). Specific injury patterns: isolated thoracic trauma, flail chest, bilateral injury and presence of haemothorax or pneumothorax were analysed. Three hundred and eighty-nine patients were included. Males (70.9%) accounted for the majority of patients. The median Injury Severity Score was 32 (IQR 24-41). Motor vehicle collisions accounted for 94% of injury mechanisms. Twenty-three (5.9%) were identified with pneumomediastinum, 6 (1.5%) with both pneumomediastinum and pneumopericardium, and 1 (0.2%) with isolated pneumopericardium. No patient required surgery for thoracic trauma. Increasing age (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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