Pulmonary laceration natural history, complications and prognosis: Difference between revisions
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{{Pulmonary laceration}} | {{Pulmonary laceration}} | ||
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{{CMG}} | {{CMG}} | ||
==Complications== | ==Complications== | ||
One complication, [[air embolism]], in which air enters the bloodstream, is potentially fatal, especially when it occurs on the left side of the heart. | One complication, [[air embolism]], in which air enters the bloodstream, is potentially fatal, especially when it occurs on the left side of the heart. Air can enter the circulatory system through a damaged [[vein]] in the injured chest and can travel to any organ; it is especially deadly in the heart or brain. [[Positive pressure ventilation]] can cause pulmonary embolism by forcing air out of injured lungs and into blood vessels. | ||
==Prognosis== | ==Prognosis== | ||
Full recovery is common with proper treatment. | Full recovery is common with proper treatment. Pulmonary laceration usually heals quickly after a chest tube is inserted and is usually not associated with major long-term problems. Pulmonary lacerations usually heal within three to five weeks, and lacerations filled with air will commonly heal within one to three weeks but on occasion take longer. However, the injury often takes weeks or months to heal, and the lung may be [[scar]]red. Small pulmonary lacerations frequently heal by themselves if material is removed from the [[pleura]]l space, but surgery may be required for larger lacerations that do not heal properly or that [[bleed]]. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Disease]] | |||
[[Category:Needs overview]] | |||
Latest revision as of 19:16, 20 February 2013
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Complications
One complication, air embolism, in which air enters the bloodstream, is potentially fatal, especially when it occurs on the left side of the heart. Air can enter the circulatory system through a damaged vein in the injured chest and can travel to any organ; it is especially deadly in the heart or brain. Positive pressure ventilation can cause pulmonary embolism by forcing air out of injured lungs and into blood vessels.
Prognosis
Full recovery is common with proper treatment. Pulmonary laceration usually heals quickly after a chest tube is inserted and is usually not associated with major long-term problems. Pulmonary lacerations usually heal within three to five weeks, and lacerations filled with air will commonly heal within one to three weeks but on occasion take longer. However, the injury often takes weeks or months to heal, and the lung may be scarred. Small pulmonary lacerations frequently heal by themselves if material is removed from the pleural space, but surgery may be required for larger lacerations that do not heal properly or that bleed.