Blunt chest trauma with deep pulmonary laceration

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Blunt chest trauma with deep pulmonary laceration Noboru Nishiumi, MD, Fumio Maitani, MD, Toyohiko Tsurumi, MD, Kichizo Kaga, MD, Masayuki Iwasaki, MD, Hiroshi Inoue, MD The Annals of Thoracic Surgery Volume 71, Issue 1, Pages 314-318 (January 2001) DOI: 10.1016/S0003-4975(00)02238-4

Fig 1 Systolic blood pressure on arrival at the hospital. The Annals of Thoracic Surgery 2001 71, 314-318DOI: (10.1016/S0003-4975(00)02238-4)

Fig 2 PaO2 on arrival at the hospital. The Annals of Thoracic Surgery 2001 71, 314-318DOI: (10.1016/S0003-4975(00)02238-4)

Fig 3 Volume of blood loss through the chest tube on the affected side within 2 hours after arrival at the hospital. The Annals of Thoracic Surgery 2001 71, 314-318DOI: (10.1016/S0003-4975(00)02238-4)

Fig 4 A plain chest roentgenogram in the supine position taken 30 minutes after injury in case 1. There is right pneumothorax with a collapse rate of 25% and deviation of the mediastinal shadow toward the left side. Although the right upper lobe is severely collapsed (white arrow), the right lower lobe is moderately collapsed (black arrow) and exhibits intralobar small macular infiltrative shadow. The right thoracic cavity generally has lower radiolucency. There are fractures of the right sixth through eighth ribs and subcutaneous emphysema on the right side. The Annals of Thoracic Surgery 2001 71, 314-318DOI: (10.1016/S0003-4975(00)02238-4)

Fig 5 A plain chest roentgenogram in the supine position taken 42 minutes after the injury in case 2. There is left pneumothorax with a collapse rate of 27% (black arrows), the left diaphragm shows depressed concavity, and there is deviation of the mediastinal shadow toward the right side. The left lung is moderately collapsed and contains severe infiltrative shadow. The left thoracic cavity shows decreased radiolucency, reflecting a large volume of left intrathoracic hemorrhage. The Annals of Thoracic Surgery 2001 71, 314-318DOI: (10.1016/S0003-4975(00)02238-4)