Dynamics of the complicated post-traumatic period in combined closed chest injury: a clinical case

2021 ◽  
pp. 65-79
Author(s):  
Elizaveta Semenovna Vladimirova ◽  
Evgeny Aleksandrovich Tarabrin ◽  
Olga Anatolyevna Alekseyechkina ◽  
Vera Mikhailovna Abuchina ◽  
Faat Abdul-Kayumovich Sharifullin ◽  
...  
Keyword(s):  
Clinical Case ◽  
Clinical Observation ◽  
Chest Injury ◽  
Closed Chest ◽  
X Ray ◽  
Diagnosis And Prognosis ◽  
Post Traumatic ◽  
Closed Chest Injury

Оn the example of clinical observation, the possibilities of radiographic methods (x-ray, ultrasound, and CT) in the diagnosis and prognosis of the course of the post-traumatic period are shown.

Salvage and Reinfusion of Chyle in Closed Chest Injury

1998 ◽  
Vol 21 (4) ◽  
pp. 235-239 ◽  
Author(s):  
M. Montebugnoli ◽  
B. Borghi ◽  
B. Bugamelli ◽  
U. Righi ◽  
D.M. Boaron ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Parenteral Nutrition ◽  
Pleural Cavity ◽  
Chest Injury ◽  
Closed Chest ◽  
Long Period ◽  
Metabolic Imbalance ◽  
Post Traumatic ◽  
The Right ◽  
Closed Chest Injury

The aim of this study was to describe a system of salvaging and reinfusing chyle which accumulated in the right pleural cavity of a patient after a thoracic duct lesion caused by a closed chest injury associated with amyelic fracture of the dorsal spine D10-D11. The chyle was collected in a reservoir (BT 844 Dideco), transfered by an electronic pump (BT 797 recovery Dideco) to a storage bag, microfiltered and then reinfused to the patient. A solution was needed to prevent the patient with severe chylothorax, from having immunological and metabolic imbalance. The long period of conservative treatment with our system was imposed by the onset of acute post-traumatic myocardic infarction which delayed surgery. From experience gained, we can say that using total parenteral nutrition, chyle can not only be salvaged but also reinfused, respecting the strict rules of hygiene.

scholarly journals The role of natural resistance factors in the development of inflammatory complications in patients with closed thoracic trauma

2019 ◽  
Keyword(s):  
Blood Serum ◽  
Bactericidal Activity ◽  
Inflammatory Process ◽  
Chest Injury ◽  
Natural Resistance ◽  
Closed Chest ◽  
Smooth Flow ◽  
Post Traumatic ◽  
Minor Injuries ◽  
Closed Chest Injury

In recent years, the upward trend in closed severe chest injuries has increased. Closed chest injury with fractures of the ribs is often accompanied by the occurrence of purulent-inflammatory complications. So, the ability of blood serum to lysis Escherichia coli (bactericidal activity of blood serum), micrococcus (indicator of lysozyme content), bacillus subtilis (indicator of beta-lysine content) in 54 patients with a closed chest injury was studied. The indicators of factors of natural resistance were compared with those of 40 healthy people. In addition, the indicators of patients whose trauma proceeded with and without an inflammatory complication were compared with each other. Inflammatory complications in the form of post-traumatic pleurisy and pneumonia were observed in 34 (62.9%) of the examined patients with fractures of 1-3 ribs. In patients with these injuries, we revealed a slight decrease in the bactericidal activity of blood serum: on the first day in the group of patients with a smooth flow to 75.92 + 3.22%, and in the group of patients with complication of the trauma, the inflammatory process (pleurisy, pneumonia) to 72, 83 + 2.65%. On the second day, in the first group, BABS decreases even more to 70.79 + 3.11%, and on the second day it increases to 87.32 + 1.91% (p <0.05). All subsequent days of observation, the bactericidal activity of the blood serum of patients with a favorable flow remained normal or close to normal.The concentration of serum beta-lysine in patients is also subject to large changes depending on the course of the post-traumatic period. In cases of smooth flow, on the first day we noted an increase in the content of beta-lysine in 52.87 + 2.51% (with a norm of 39.3 + 1.4%). Starting from the second day there is a clear downward trend in this indicator. From 4 to 5 days, he approaches the norm (44.32 + 2.40%) and remains within these limits throughout the entire observation period. Thus, a decrease in serum lysozyme and an increase in beta-lysine concentration from the first day after an injury in patients with fractures of 1-3 ribs can serve as a prognostic sign of an inflammatory complication.resistance, which were already registered with minor injuries. However, in cases of the development of the inflammatory process, there is a more significant decrease in the lysozyme content and an increase in the concentration of beta-lysine in the blood serum from the first day after the injury, remaining on all subsequent days.

scholarly journals The use of extracorporeal membrane oxygenation in severe closed chest injury

2019 ◽  
Vol 178 (2) ◽  
pp. 65-68
Author(s):  
D. A. Zaitsev ◽  
A. V. Kochetkov ◽  
D. A. Shelukhin ◽  
V. V. Lishenko ◽  
V. I. Popov ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Clinical Case ◽  
Lung Ventilation ◽  
Chest Injury ◽  
Closed Chest ◽  
Membrane Oxygenation ◽  
Life Saving ◽  
Artificial Lung Ventilation ◽  
Life Threatening ◽  
Closed Chest Injury

The clinical case of successful cure of the victim with severe closed chest injury is presented, as a result of which the life-threatening acute respiratory failure could not be compensated by artificial lung ventilation and, in connection with which the use of extracorporeal membrane oxygenation as a «life-saving technology» was required.

Closed Chest Injury

1959 ◽  
Vol 78 (5) ◽  
pp. 791
Author(s):  
JAMES H. FORSEE
Keyword(s):  
Chest Injury ◽  
Closed Chest ◽  
Closed Chest Injury
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