- 関
- thoracic injury
WordNet
- any physical damage to the body caused by violence or accident or fracture etc. (同)hurt, harm, trauma
- an act that causes someone or something to receive physical damage
- wrongdoing that violates anothers rights and is unjustly inflicted
- an accident that results in physical damage or hurt (同)accidental injury
- box with a lid; used for storage; usually large and sturdy
PrepTutorEJDIC
- 『負傷』,『損害』,損傷 / (名誉などを)傷つけること,侮辱《+『to』+『名』》
- (ふた付きのじょうぶな)『大箱』,ひつ / 《米》たんす(=chest of drawers) / (…の)たんすいっぱい《+『of』+『名』》 / 『胸[部]』,肺
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/04/17 02:36:54」(JST)
[Wiki en表示]
Chest injury |
Classification and external resources |
A chest X-ray of a right sided pulmonary contusion associated with flail chest and subcutaneous emphysema
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ICD-10 |
S20—S29 |
ICD-9 |
959.11 |
MeSH |
D013898 |
A chest injury is any form of physical injury to the chest including the heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury.[1] Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings.[2]
Contents
- 1 Classification
- 2 Diagnosis
- 3 References
- 4 Bibliography
Classification
Chest injuries can be classified as blunt or penetrating. Blunt and penetrating injuries have different pathophysiologies and clinical courses.
Specific types of injuries include:
- Injuries to the chest wall
- Chest wall contusions or hematomas.
- Rib fractures
- Flail chest
- Sternal fractures
- Fractures of the shoulder girdle
- Pulmonary injury (injury to the lung) and injuries involving the pleural space
- Pulmonary contusion
- Pulmonary laceration
- Pneumothorax
- Hemothorax
- Hemopneumothorax
- Injury to the airways
- Cardiac injury
- Pericardial tamponade
- Myocardial contusion
- Traumatic arrest
- Blood vessel injuries
- Traumatic aortic rupture, thoracic aorta injury, aortic dissection
- And injuries to other structures within the torso
- Esophageal injury (Boerhaave syndrome)
- Diaphragm injury
Diagnosis
Most blunt injuries are managed with relatively simple interventions like tracheal intubation and mechanical ventilation and chest tube insertion. Diagnosis of blunt injuries may be more difficult and require additional investigations such as CT scanning. Penetrating injuries often require surgery, and complex investigations are usually not needed to come to a diagnosis. Patients with penetrating trauma may deteriorate rapidly, but may also recover much faster than patients with blunt injury.
References
- ^ Peitzman 2002, p 203
- ^ Moore 2012, p. 468
Bibliography
- Feliciano, David V.; Mattox, Kenneth L.; Moore, Ernest J (2012). Trauma, Seventh Edition (Trauma (Moore)). McGraw-Hill Professional. ISBN 0-07-166351-7.
- Andrew B., MD Peitzman; Andrew B. Peitzman; Michael, MD Sabom; Donald M., MD Yearly; Timothy C., MD Fabian (2002). The trauma manual. Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 0-7817-2641-7.
Nonmusculoskeletal injuries of head (head injury) and neck (S00–S19, 850–854)
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Intracranial |
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Extracranial/
facial trauma |
eye: |
- Black eye
- Eye injury
- Corneal abrasion
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ear: |
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Either/both |
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anat (g/a/p)/phys/devp/prot
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proc, drug (S1A/1E/1F/1L)
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Chest trauma, excluding fractures (S20–S29, 860–862)
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Cardiac and
circulatory system injuries |
- vascular: Traumatic aortic rupture
- heart: Myocardial contusion/Commotio cordis
- Cardiac tamponade
- Hemopericardium
- Myocardial rupture
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Lung and
lower respiratory tract injuries |
- Pneumothorax
- Hemothorax
- Hemopneumothorax
- Pulmonary contusion
- Pulmonary laceration
- Tracheobronchial injury
- Diaphragmatic rupture
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anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
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noco/syva/cong/lyvd/tumr, sysi/epon, injr
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proc, drug (C2s+n/3/4/5/7/8/9)
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noco/cong/tumr, sysi/epon, injr
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proc, drug (C1A/1B/1C/1D), blte
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anat (n, x, l, c)/phys/devp
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noco (c, p)/cong/tumr, sysi/epon, injr
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proc, drug (R1/2/3/5/6/7)
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General wounds and injuries (T08-T35, 870-949)
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General wound/
trauma |
Blunt trauma/
superficial/closed |
abrasions |
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blisters |
- Blister (Blood blister
- Coma blister
- Delayed blister
- Edema blister
- Fracture blister
- Friction blister
- Sucking blister)
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bruises |
- Bruise/Hematoma/Ecchymosis
- Battle's sign
- Raccoon eyes
- Black eye
- Subungual hematoma
- Cullen's sign
- Grey Turner's sign
- Retroperitoneal hemorrhage
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bites |
- Animal bite: Insect bite
- Spider bite
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Penetrating trauma/open |
Animal bites: |
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Other: |
- Ballistic trauma
- Stab wound
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Foreign body |
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Other |
- Burn/Corrosion/Chemical burn
- Frostbite
- Aerosol burn
- Traumatic amputation
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By region |
- Hand injury
- Head injury
- Chest trauma
- Abdominal trauma
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noco (i/b/d/q/u/r/p/m/k/v/f)/cong/tumr (n/e/d), sysi/epon
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proc, drug (D2/3/4/5/8/11)
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UpToDate Contents
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English Journal
- On ballistic parameters of less lethal projectiles influencing the severity of thoracic blunt impacts.
- Pavier J1, Langlet A, Eches N, Jacquet JF.
- Computer methods in biomechanics and biomedical engineering.Comput Methods Biomech Biomed Engin.2015 Feb;18(2):192-200. doi: 10.1080/10255842.2013.789101. Epub 2013 Apr 29.
- The development and safety certification of less lethal projectiles require an understanding of the influence of projectile parameters on projectile-chest interaction and on the resulting terminal effect. Several energy-based criteria have been developed for chest injury assessment. Many studies con
- PMID 23627256
- Airway and ventilator management in trauma patients.
- Beckers SK1, Brokmann JC, Rossaint R.
- Current opinion in critical care.Curr Opin Crit Care.2014 Dec;20(6):626-31. doi: 10.1097/MCC.0000000000000160.
- PURPOSE OF REVIEW: Securing the airway to provide sufficient oxygenation and ventilation is of paramount importance in the management of all types of emergency patients. Particularly in severely injured patients, strategies should be adapted according to useful recent literature findings.RECENT FIND
- PMID 25314240
- Utilization of a clinical prediction rule for abdominal-pelvic CT scans in patients with blunt abdominal trauma.
- Corwin MT1, Sheen L, Kuramoto A, Lamba R, Parthasarathy S, Holmes JF.
- Emergency radiology.Emerg Radiol.2014 Dec;21(6):571-6. doi: 10.1007/s10140-014-1233-1. Epub 2014 May 17.
- This study aims to determine if a clinical prediction (CP) rule to identify patients at low risk for intra-abdominal injury (IAI) is being utilized in patients undergoing abdominal computed tomography (CT) following blunt abdominal trauma. A retrospective review of adult patients with blunt abdomina
- PMID 24838812
Japanese Journal
- 胸部外科 = The Japanese journal of thoracic surgery 68(2), 117-119, 2015-02
- NAID 40020333595
- 2D41 自動車前面衝突における拘束装置による乗員の胸部変形(OS12-4:傷害とその予防・軽減のバイオメカニクス(4))
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Related Pictures
★リンクテーブル★
[★]
- 英
- chest injury、thoracic injury
- 関
- 胸部外傷
[★]
- 関
- chest injury
[★]
- 関
- damage、injure、insult、lesion、spoilage、trauma、traumatic、traumatic injury、wound
[★]
- 関
- breast、pectoral、pectoral region、thoraces、thoracic、thorax