Failure of chest X-rays to diagnose pneumothoraces after blunt trauma

被引：17

作者：

Collins, JA ^{[1
]}

Samra, GS ^{[1
]}

机构：

[1] Royal London Hosp, Dept Anaesthesia, London E1 1BB, England

来源：

ANAESTHESIA | 1998年 / 53卷 / 01期

关键词：

complications; trauma; chest; pneumothorax; X-ray;

D O I：

10.1046/j.1365-2044.1998.00280.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We report four cases of occult pneumothorax in patients who had suffered blunt trauma. In each case supine chest X-rays failed to diagnose an anterior pneumothorax. Subsequent spiral computerised tomography scans of the chest showed anterior pneumothoraces in all cases. In two of the cases anterior pneumothoraces were present in spite of a chest drain having been placed in the pleural cavity. We recommend the insertion of anteriorly positioned chest drains to relieve pneumothoraces in severely injured trauma patients.

引用

页码：74 / 78

页数：5

共 7 条

[1] HAZARDS OF NITROUS OXIDE ANESTHESIA IN BOWEL OBSTRUCTION AND PNEUMOTHORAX [J].

EGER, EI ;

SAIDMAN, LJ .

ANESTHESIOLOGY, 1965, 26 (1P1) :61-+

[2]

GARRAMONE RR, 1991, SURG GYNECOL OBSTET, V173, P257

[3] Traumatic chest lesions in patients with severe head trauma: A comparative study with computed tomography and conventional chest roentgenograms [J].

Karaaslan, T ;

Meuli, R ;

Androux, R ;

Duvoisin, B ;

Hessler, C ;

Schnyder, P .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 39 (06) :1081-1086

[4]

MCGONIGAL MD, 1993, J TRAUMA, V35, P302

[5] COMPUTED-TOMOGRAPHY IN THE MANAGEMENT OF BLUNT THORACIC TRAUMA [J].

POOLE, GV ;

MORGAN, DB ;

CRANSTON, PE ;

MUAKKASSA, FF ;

GRISWOLD, JA ;

MEREDITH, JW ;

SCHWAB, CW ;

BRITT, LD ;

ROHMAN, M ;

MILLER, FB ;

METZLER, MH ;

BENDER, JS ;

MCGONIGAL, MD .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1993, 35 (02) :296-302

[6] THE MORBIDITY AND MORTALITY OF RIB FRACTURES [J].

ZIEGLER, DW ;

AGARWAL, NN .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 37 (06) :975-979

[7]

1996, SIEMENS MANUAL

← 1 →