Contralateral Traumatic Hemopneumothorax.

Case Reports in Emergency Medicine Pub Date : 2018-12-19 eCollection Date: 2018-01-01 DOI:10.1155/2018/4328704
Quevedo-Florez Leonardo Alexander, Montenegro-Apraez Alvaro Andrés, Aguiar-Martinez Leonar Giovanni, Hernández Juan Carlos, Cortés-Tascón Juan David
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引用次数: 1

Abstract

Pneumothorax is the entry of air into the virtual space between the visceral and the parietal pleurae, which can occur spontaneously or to a greater extent in a traumatic way. In daily clinical practice it is frequent to find injuries that generate traumatic pneumothorax that is ipsilateral to the lesion. However, there are case reports of contralateral pneumothorax that occurred in procedures such as insertion of pacemakers, or in cases of pneumonectomy. The following is the case report of a 37-year-old man who was admitted with a sharp wound to the right paravertebral region who developed a left haemopneumothorax due to a tangential course of the injuring agent. Adequate clinical judgment was followed, and several imaging studies were carried out, leading to the diagnosis of traumatic pneumothorax that was contralateral to the described injury.

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对侧创伤性血气胸。
气胸是指空气进入内脏和胸膜壁层之间的虚拟空间,它可以自发发生,也可以在更大程度上以创伤的方式发生。在日常临床实践中,经常发现损伤产生创伤性气胸的同侧病变。然而,也有对侧气胸的病例报告,发生在手术中,如植入起搏器,或在全肺切除术的情况下。以下是一名37岁男子的病例报告,他入院时右侧椎旁区有一处尖锐伤口,由于损伤剂的切向过程而发展为左侧血气胸。随后进行了充分的临床判断,并进行了几次影像学检查,最终诊断为创伤性气胸,该气胸位于所述损伤的对侧。
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