What are the causes of hemotorax? What are the symptoms of hemotoraks? How treatment is hemotorax? Answers to these questions you will find in the article.
Content
Causes and symptoms of hemotorax
The cause of hemotorax can be damaged
vessels of light, mediastinal, chest and diaphragm with
Violation of the intake of visceral, parietal and mediastinal pleura
traumatic and other (tumor, congenital anomaly) character. IN
Particularly possible hemotions after operational interventions on
Breastfish organs.
Blood is poured into pleural
cavity through damaged parietal or visceral her sheet from
neighboring organs and tissues, squeezing a lightweight and sweeping mediastinum in
opposite side. In this case, the hemorrhagic shock is combined with
Cardio-pulmonal.
Pleurally empty
Blood cavity usually remains a long fluid (banal hemotorax),
But after surgery on the background of the coagulant
therapy is possible to increase blood coagulation, resulting in
There is a so-called rolled hemotorax. Finally, hemotorax
Often combined with pneumothorax - open (penetrating injuries
chest) and closed (damage to the pulmonary fabric with admission
air in the pleural cavity). In these cases, we are talking about
Hemopneumothorax.
Hemotorax manifests itself pain in
damaged half of the chest, combined with signs of acute
anemia (skin patch and mucous membranes, cold sticky sweat,
Dizziness, noise in the ears, flashing in the eyes, a weak frequent pulse,
Reduced blood pressure, hemoglobin, color
Indicator, gematocrit values, quantity of red blood cells). At
Percussions (diagnostic clutch) on the side of the lesion marked the dullness, more pronounced
In the lower departments of the pleural cavity, some border offset
mediastrine in the opposite side. Auscultatively registered
Weakening or lack of vesicular breathing. With hemotorex,
caused by damage to the chest wall with a fracture of ribs,
Palparato felt swelling of soft tissues (hematoma), deformation,
Pathological mobility and crepitration of fumps of ribs. Hemotorax or
Hemopneumothorax due to the rupture of pulmonary parenchyma can
Accompanied also hemochkump.
In diagnostic puncture in
pleural cavity determine liquid blood, and when combined with
Pneumothorax - air. X-ray hemotorax is characterized
the dimming of the corresponding half of the chest with more or less
pronounced displacement of the shadow of the mediastinum in a healthy side, and when
Combined with pneumothorax over horizontal liquid level visible
Gas bubble.
Based on anamnestic information,
Clinical and radiographic and laboratory data, puncture
Pleural cavity.
How treatment is hemotorax
The treatment plan of the hemotorax is built on the basis of the intensity of bleeding and severity
Signs of traumatic and hemorrhagic shock. Open penetrating
chest damage with light, diaphragm, profuse
Bleeding require emergency surgery on the background
complex anti-shock therapy comprising besides therapeutic
Analgesia (anesthesia) Fight against acute anemia and hypoxy (replenishment
blood loss, oxygenotherapy). The operation pursues the following objectives:
stopping bleeding, restoring the favors of damaged organs and
fabrics, removal of the washing blood and, if necessary, overlay
closed drainage for the fastest light resulsion in
Postoperative period, Sanation of pleural cavity by antiseptics.
With moderately pronounced hemotorax without a tendency to continue
bleeding apply the punkey method to remove the
blood and washing of the pleural cavity (Furacillin solution 1: 5000, 0.1
% solution of Furagin) to prevent the amusement of pleura. In suspected
on the tumor as a source of bleeding, the point is sent to
Cytological research.
Curved hemotorax should be tried
eliminate conservatively by introducing into the pleural cavity
proteolytic enzymes (hemopcin, chemotripcin) in isotonic
Sodium chloride solution. With the unsuccessfulness of these events and
Significant sizes of curved hemotorax may occur
Indications for wide thoracotomy and removal of blood clots.
Forecast.
Depends on the severity of damage to the chest and its organs,
Intensity of blood loss and timeliness of surgical care.
