Gincherman Y, Luketich J D, Kaiser L R
University of Pennsylvania School of Medicine, Philadelphia.
J Trauma. 1995 Jun;38(6):960-3. doi: 10.1097/00005373-199506000-00028.
Pulmonary contusion is a frequent sequelae of blunt chest trauma. If significant shear forces are encountered during energy transfer to the chest wall, pulmonary laceration may result. Most traumatic pulmonary lacerations resolve spontaneously. However, secondary infection of a posttraumatic laceration often leads to serious complications that may be lethal. We report a case of a secondarily infected pulmonary laceration resulting from blunt trauma that was successfully treated by computerized tomogram-guided drainage and review the literature on this unusual complication.
肺挫伤是钝性胸部创伤常见的后遗症。如果在能量传递至胸壁的过程中遇到显著的剪切力,可能会导致肺撕裂伤。大多数创伤性肺撕裂伤可自行愈合。然而,创伤后撕裂伤的继发感染常导致严重并发症,甚至可能致命。我们报告一例钝性创伤导致的继发感染性肺撕裂伤,通过计算机断层扫描引导下引流成功治疗,并回顾关于这一罕见并发症的文献。