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1. 成人における鈍的胸部外傷の初期評価およびマネージメント initial evaluation and management of blunt thoracic trauma in adults [show details]
…looking for signs that the pneumothorax may be expanding is critical. Injuries leading to massive hemothorax include aortic rupture, myocardial rupture, and injuries to hilar structures. Other causes …
2. 成人における貫通性胸部外傷の初期評価およびマネージメントinitial evaluation and management of penetrating thoracic trauma in adults [show details]
…most patients with such wounds expire in the field . However, vascular injury can present as massive hemothorax, necessitating immediate decompression and emergency operative intervention. Tracheobronchial …
3. 成人や小児への胸腔ドレーンとカテーテルの留置と管理placement and management of thoracostomy tubes and catheters in adults and children [show details]
…in both adults and children with the exception of acutely injured patients with concern for massive hemothorax or tension pneumothorax. Needle thoracostomy may be a preferred initial option in a patient …
4. 外傷性肋骨骨折の入院マネージメントinpatient management of traumatic rib fractures [show details]
…However, massive hemothorax from intercostal vessel injury alone is rare. When present, significant hemothorax is more likely to be from direct lung parenchymal injury. In the supine position, hemothorax is …
5. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチevaluation of and initial approach to the adult patient with undifferentiated hypotension and shock [show details]
… (anechoic stripe or septations) may support empyema or hemothorax and guide thoracentesis Peritoneal cavity – Evidence… wound to the abdomen), but in other cases the etiology is less obvious (eg, obstructive shock from massive pulmonary embolism). Once the diagnosis is known, specific therapies should be refined, and the response …

English Journal

An isolated azygos vein rupture from blunt chest trauma.

, L L, S S, S S, h h, .
Asian cardiovascular & thoracic annals. 2019 May;()218492319850049.
We report a case of isolated traumatic rupture of the azygous vein. A 33-year-old female suffered blunt chest injury from the airbag explosion in a car accident. Initial examination revealed decreased breath sounds in the right chest. Computed tomography showed a massive right hemothorax without evi
PMID 31072105

Hemothorax induced by severe cough: An unusual presentation.

Camarillo-Reyes LA, Marquez-Córdova RI, Surani S, Varon J.
SAGE open medical case reports. 2019 ;7()2050313X19846043.
Massive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid
PMID 31065358

Vitamin K deficiency-induced hemorrhagic shock after thoracentesis: a case report.

Itagaki H, Hagino T.
BMC gastroenterology. 2019 Apr;19(1)58.
Vitamin K deficiency results in serious coagulation dysfunction, but hemorrhagic shock is rare. Herein, we describe a case of vitamin K deficiency and abnormality in the path of the intercostal artery, the combination of which led to hemorrhagic shock. An 83-year-old woman was hospitalized for suspe
PMID 30999880

Japanese Journal

Massive haemothorax complicating heparin therapy for pulmonary infarction

MILLARD CE
Chest 59, 235-237, 1971
NAID 30030193958

虚血性心疾患にかんする臨床的考察,とくに中間型に対する批判

板倉純夫
千葉医学会雑誌 43(4), 594-648, 1967-11
… according to WHO classification, there could be not rarely seen such cases as showing diffuse disseminated, small changes in myocardium, instead of massive localized infarction. … Coronary angiitis observed in the panangiitis nodosa suddenly dead of acute haemothorax. …
NAID 110007348291