Carboni Bisso Indalecio, Gemelli Nicolas Alejandro, Barrios Cecilia, Las Heras Marcos
Adult Intensive Care Unit, Sanatorio Franchin, Bartolomé Mitre 3565, C1201 AAO Buenos Aires, Argentina.
Adult Intensive Care Unit, Hospital Italiano de Buenos Aires, Teniente Peron 4190, Buenos Aires, Argentina.
Trauma Case Rep. 2021 Feb 27;32:100449. doi: 10.1016/j.tcr.2021.100449. eCollection 2021 Apr.
Pulmonary laceration is usually caused by penetrating trauma but it can also be found in non-penetrating trauma. It usually resolves quickly and with few problems if proper and timely treatment is given for which an adequate diagnosis is mandatory. In some cases it may require a surgical approach.
A 21 year-old male was admitted after a car accident with multiple trauma lesions. He presented with tachycardia and tachypnea. Thorax CT revealed evident pulmonary lacerations. After placing two chest tubes he evolved favorably.
Since we can usually find different kinds of injuries in multiple trauma, it is important to distinguish pulmonary lacerations from other types of lesions such as pneumothorax or concussions taking special consideration for mechanically ventilated patients and possible associated complications.
肺撕裂伤通常由穿透性创伤引起，但也可见于非穿透性创伤。如果给予适当及时的治疗，通常会迅速痊愈且问题较少，而这需要进行充分的诊断。在某些情况下，可能需要手术治疗。
一名21岁男性在车祸后因多处创伤入院。他表现为心动过速和呼吸急促。胸部CT显示明显的肺撕裂伤。放置两根胸管后，他病情好转。
由于在多发伤中通常会发现不同类型的损伤，因此区分肺撕裂伤与其他类型的损伤（如气胸或脑震荡）非常重要，对于机械通气患者及可能的相关并发症需特别考虑。
