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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

大量血胸を契機に発見された孤立性線維性腫瘍の1例

小林健一,大﨑敏弘,福市有希子,安田学,宗知子,小舘満太郎
日本呼吸器外科学会雑誌 33(2), 133-139, 2019
<p>大量血胸を契機に発見される孤立性線維性腫瘍の報告例は少ない．症例は35歳，男性．突然の左胸痛を主訴に近医を受診した．左胸水貯留を指摘され，当院に紹介となった．胸部CTで大量の左胸水と左胸腔内背側，横隔膜上に7.4×4.5×6.2 cm大の腫瘤を認めた．胸腔穿刺にて血性胸水と判明した．超音波検査にて腫瘤は血流が豊富であり，生検による診断は困難であった．貧血が進行したことから，腫瘍か …
NAID 130007612067

肺内肺動脈の破裂を契機とした大量血胸の一例

大亀剛,重松義紀,中島潔,八木健郎,山本傑,波戸岡俊三
日本呼吸器外科学会雑誌 33(1), 42-46, 2019
<p>肺内で肺動脈が突然破綻し，さらに肺内の出血が胸膜を穿破して血胸を来すことは極めて稀である．今回我々は，肺内肺動脈の破裂により喀血を発症し，その後大量血胸をきたしたため緊急開胸手術を行い，救命した症例を経験したので報告する．患者は60歳代男性．自宅で誘因なく突然喀血し当院に救急搬送された．胸部CTでは左血気胸を認めたが，検査時点では原因は不明であった．バイタルサインが安定せず，緊急 …
NAID 130007578528

A Case Of Ankylosing Spinal Hyperostosis With Massive Hemothorax Due To Thoracic Vertebral Fracture Caused By Minor Trauma

Hirota Ryosuke,Irifune Hideto,Takahashi Nobuyuki,Emori Makoto,Teramoto Atsushi,Yoshimoto Mitsunori,Miyazima Masahiro,Watanabe Atsushi,Yamashita Toshihiko
Spine Surgery and Related Research, 2018
NAID 130007520267