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Management Of Hemothorax

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Hemothorax patient death can be caused because of the large blood loss and the occurrence of respiratory failure . Respiratory failure due to the large amount of blood in the pleural cavity pressure of lung tissue and reduced lung tissue that does ventilation. Then treatment hemothorax as follows: 1. Emptying of blood from the pleural cavity. Installed "chest tube" and is connected with the WSD system, this can accelerate the lung expands. 2. Stop the bleeding. If the installation of WSD, the blood still does not stop, then considered for thoracotomy. 3. General state of repair. Giving oxygen 2-4 liters / minute, the length adjusted to the clinical changes, better yet, if the monitored with blood gas analysis. Try to people with normal blood gases. Giving blood transfusion: seen from a decrease in Hb. As a benchmark can be used the following calculation, every 250 cc of blood (from patients with Hb 15 g%) can raise ¾ g% Hb. Given with a normal drop of about 20-30 drops / m...

Hemothorax

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Hemotorax is the presence of blood in the pleural cavity. Pathophysiology and Etiology Sharp trauma or blunt trauma. This can occur when blunt trauma can cause fractures of the ribs, resulting in a torn intercostal blood vessels and also cause a tear in the lung tissue. A torn aortic aneurysm Complications due to drug administration on pulmonary infarction antikoagulansia In patients with abnormalities of "hemorrhagic diathese". Complications in thoracic surgery. Clinical Symptoms Symptoms and complaints hemothorax depending on the weight and severity of trauma. Patients may complain of shortness of breath, chest pain, until the shock and anemia. Diagnosis 1. Anamnesa : A history of trauma to the chest, or after surgery. 2. Physical examination Found such signs in the pleural effusion . At the hospital hemitoraks reduced movement. Hemithorax percussion on the sick and faint sounds on auscultation, breath sounds audible reduced or disappear altogether. 3. Chest X-ray photo...