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

PrepTutorEJDIC

『負傷』,『損害』,損傷 / (名誉などを)傷つけること,侮辱《+『to』+『名』》
胸の,胸部の

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/09/25 21:51:51」(JST)

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A chest injury is any form of physical injury to the chest including the ribs, 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]

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
- Tracheobronchial tear
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.

UpToDate Contents

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1. 成人における胸壁外傷の初期評価およびマネージメント initial evaluation and management of chest wall trauma in adults
2. 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
3. 胸部外傷を有する小児の初期評価および安定化 initial evaluation and stabilization of children with thoracic trauma
4. 鈍的胸部大動脈損傷 blunt thoracic aortic injury
5. 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

English Journal

Rosuvastatin postconditioning protects isolated hearts against ischemia-reperfusion injury: The role of radical oxygen species, PI3K-Akt-GSK-3β pathway, and mitochondrial permeability transition pore.

Liu CW1, Yang F2, Cheng SZ3, Liu Y1, Wan LH1, Cong HL1.
Cardiovascular therapeutics.Cardiovasc Ther.2017 Feb;35(1):3-9. doi: 10.1111/1755-5922.12225.
AIMS: Glycogen synthase kinase-3β (GSK-3β) and mitochondrial permeability transition pore (mPTP) play an important role in myocardial ischemia-reperfusion injury. The aim of this study was to investigate whether postconditioning with rosuvastatin is able to reduce myocardial ischemia-reperfusion i
PMID 27580017

The clinical benefit of a follow-up thoracic computed tomography scan regarding parenchymal lung injury and acute respiratory distress syndrome in polytraumatized patients.

Negrin LL1, Prosch H2, Kettner S3, Halat G4, Heinz T5, Hajdu S6.
Journal of critical care.J Crit Care.2017 Feb;37:211-218. doi: 10.1016/j.jcrc.2016.10.003. Epub 2016 Oct 12.
PURPOSE: To evaluate the increase of parenchymal lung injury (PLI) volume between the initial and a follow-up computed tomography (CT) scan and to ascertain which of the 2 scans was more appropriate to predict acute respiratory distress syndrome (ARDS).MATERIAL AND METHODS: From 2011 to 2015, polytr
PMID 27969573

Nonoperative Management of Blunt Solid Organ Injury in Pediatric Surgery.

Notrica DM1, Linnaus ME2.
The Surgical clinics of North America.Surg Clin North Am.2017 Feb;97(1):1-20. doi: 10.1016/j.suc.2016.08.001.
In the last decade, higher rates of nonoperative management of liver, spleen, and kidney injuries have been achieved. An algorithmic approach may improve success on a national level. Factors for success include management strategy based on physiologic status of the child, early attempt at resuscitat
PMID 27894421

Japanese Journal

外傷性気管膜様部裂傷に対し気管切開を行い保存的に救命した1例

門脇晋,野田大地,尾形敏郎 [他]
北関東医学 63(3), 257-260, 2013-08
NAID 40019793611

事故実態調査に基づく前面衝突時におけるシートベルト着用の自動車乗員の胸腹部傷害の発生状況の分析

富永茂,西本哲也,菊池厚躬 [他]
自動車技術会論文集 44(4), 1073-1078, 2013-07
NAID 40019778525

術後出血 (特集肺手術後の合併症 : 発生予防と治療)

藤野昇三,奥村武弘,渡部真人
日本胸部臨床 72(7), 708-716, 2013-07
NAID 40019730416

「胸部損傷」

Chest injury
	A chest X-ray of a right sided pulmonary contusion associated with flail chest and subcutaneous emphysema
Classification and external resources
Specialty	emergency medicine
ICD-10	S20—S29
ICD-9-CM	959.11
MeSH	D013898