Blunt chest trauma : clinical difficulties and limitations of radiological examinations

##plugins.themes.academic_pro.article.main##

Imen Bannour
Meksi Yassine
Mahmoud Fodha
Mouna Ouaz
Bechir Haddad
Ali Majdoub

Abstract

   blunt chest trauma remains a public health problem due to the severity of caused injuries, diagnostic difficulties and therapeutic orientation. There is no correlation between the parietal lesions and endothoracic abnormalities. Instead radiological examinations are far from accurate. Through a study of 72 cases of closed chest trauma and a literature review we propose to identify risk factors of endothoracic lesions, to clarify the role of radiological examinations in the exploration of these injuries and propose a decisional algorithm.

Keywords:

blunt chest trauma, assessment, manegment

##plugins.themes.academic_pro.article.details##

References

  1. Incagnoli P. Prise en charge d'un traumatisme grave fermé du thorax : mise en condition initiale. MAPAR2000.
  2. Boyd AD,Glassman LR.Trauma to the lung.Chest Surg Clin N Am 1997 ; 7 : 263-284.
  3. Karmy-Jones R, Jurkovich GJ. Blunt chest trauma. Curr Probl Surg 2004 ; 41 : 211-380.
  4. Beigelman-Aubry.C et al.Traumatismes du thorax : lésions élémentaires. J Radiol. 2008 ; 89,1797-1811.
  5. J.-P. Avaro, P.M. Bonnet. Prise en charge des traumatismes fermés du thorax. Journal Européen des Urgences et de Réanimation 2014 ; 26 : 25-36
  6. Vivien.B, Langeron.O, Riou.B. La prise en charge du polytraumatisé au cours des vingt-quatre premières heures. EMC-Anesthésie Réanimation 1 (2004) 208-226
  7. Exadaktylos AK, Sclabas G,Schmid SW,Schaller B,Zimmermann H. Do we really need routine computed tomographic scanning in the primary evaluation of blunt chest trauma in patients with « normal » chest radiograph .J Trauma2001 ;51 :1173-1176
  8. Yeguiayan JM, Yap A, Freysz M, Garrigue D, Jacquot C, Martin C, et al. Impact of whole-body computed tomography on mortality and surgical management of severe blunt trauma. Crit Care 2012; 16:R101.
  9. Baker AM, Meredith JW, Haponik EF. Pneumonia in intubated trauma patients. Microbiology and outcomes. Am J Respir Crit Care Med 1996 ;153(1) : 343-9.
  10. Klein Y, Cohn SM, Proctor KG. Lung contusion: pathophysiology and management. Curr Opin Anaesthesiol 2002; 15: 65-68.
  11. De Wever W, Bogaert J, Verschakelen J. Continuing education, radiology of lung trauma. JBR-BTR2000; 83:167-180.
  12. Gazon m, Eboumbou et al .Analyse de concordance entre l'échographie pulmonaire et la radiographie thoracique en réanimation.Ann Fr Anesth Reanim2011;138 :649-55
  13. Xirouchaki N, Vaporidi K, Kondili E, Plataki M, Patrianakos A, Akoumianaki E,et al. Lung ultrasound in critically ill patients: comparison with bedside chestradiography. Intensive Care Med 2011; 37:1488-93