Sziklavari, Zsolt and Molnar, Tamas F. (2019) Blast injures to the thorax. JOURNAL OF THORACIC DISEASE, 11 (Suppl2). S167-S171. ISSN 2072-1439, 2077-6624
Full text not available from this repository. (Request a copy)Abstract
One out of 10 of military casualties and 6-9 out of 10 civilian victims of terror incidents suffer pulmonary blast injuries when the attackers use explosives as weapon. No specific therapy exists for the primary, shock-wave injury to the lung. The treatment protocols are based on mechanical ventilation, intensive therapy and supportive care. Secondary and tertiary blast structural injuries to the thorax require damage control surgery, dominated by pleural space management (drainage) and haemorrhage control (thoracotomy if needed). Parenchyma resection of irreversibly destroyed lung is rarely needed, and non-anatomical resections are to be preferred. Delayed chest wall reconstruction follows haemodynamic stabilisation and completion of demarcation process. Blast injury to the chest requires a multidisciplinary approach, where the outcome is strongly influenced by the concomitant injuries.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LUNG INJURY; EXPLOSION; Blast lung injury; thoracic trauma; military medicine |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Thoraxchirurgie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 26 Mar 2020 10:38 |
| Last Modified: | 26 Mar 2020 10:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27643 |
Actions (login required)
 |
View Item |
