Simon B J, Chu Q, Emhoff T A, Fiallo V M, Lee K F
Department of Trauma/General Surgery, Baystate Medical Center, Springfield, Massachusetts 01199, USA.
J Trauma. 1998 Oct;45(4):673-6. doi: 10.1097/00005373-199810000-00005.
To describe the nature of delayed hemothorax occurring after blunt thoracic trauma and to identify the population at risk for this complication.
A retrospective review was conducted of 36 consecutive patients with hemothorax consequent to blunt trauma. Criteria for the definition of delayed hemothorax were established involving normal interval chest radiographs or computed tomographic scans during hospitalization.
Twelve cases of delayed development of hemothorax were identified. Ninety-two percent of cases occurred in patients with multiple or displaced rib fractures. Presentation occurred from 18 hours to 6 days after injury. Eleven of the 12 cases were heralded by a prodrome of new pleuritic chest pain and dyspnea that occurred from 4 to 19 hours before treatment.
Delayed hemothorax after blunt trauma is a unique entity occurring in patients with multiple or displaced rib fractures. Vigilance for the recognizable prodrome in the high-risk population should allow early remediation of this complication.
描述钝性胸部创伤后迟发性血胸的性质，并确定发生该并发症的高危人群。
对36例因钝性创伤导致血胸的连续患者进行回顾性研究。制定了迟发性血胸的定义标准，包括住院期间胸部X线片或计算机断层扫描结果正常。
确定了12例迟发性血胸病例。92%的病例发生在有多根肋骨骨折或肋骨移位的患者中。症状出现在受伤后18小时至6天。12例中的11例在治疗前4至19小时出现新的胸膜炎性胸痛和呼吸困难前驱症状。
钝性创伤后迟发性血胸是一种发生在有多根肋骨骨折或肋骨移位患者中的独特病症。对高危人群中可识别的前驱症状保持警惕应能使该并发症得到早期治疗。
