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Journal Article

Citation

de Melo ASA, Moreira LBM, Pessoa FMC, Saint-Martin N, Ancilotti Filho R, Souza AS, Marchiori E. Radiol. Bras. 2017; 50(6): 372-377.

Affiliation

Full Professor at the Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

Copyright

(Copyright © 2017, Colegio Brasileiro de Radiologia)

DOI

10.1590/0100-3984.2016.0167

PMID

29307927

PMCID

PMC5746881

Abstract

OBJECTIVE: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. MATERIAL AND METHODS: We studied the computed tomography findings from 40 cases of penetrating thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were caused by another type of weapon.

RESULTS: Pulmonary lesions were found in 39 cases (97.5%), manifesting as contusions in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2.5%) and hematomas in 1 (2.5%). Hemothorax was seen in 31 cases (77.5%), and pneumothorax was seen in 22 cases (55%). Mediastinal lesions were observed in 8 cases (20%), including mediastinal hematoma in 3 cases (7.5%), hemopericardium in 3 (7.5%), and pneumomediastinum in 2 (5%). Diaphragmatic rupture was seen in 2 cases (5%).

CONCLUSION: In patients with penetrating thoracic trauma, computed tomography of the chest is an important tool for characterizing the affected organs and evaluating the path of injury, as well as the severity and extent of the lesions. The images obtained are also useful in estimating the risk of death and determining the best therapeutic approach.


Language: en




OBJETIVO: Analisar os diferentes achados da tomografia computadorizada no trauma torácico aberto e determinar sua frequência e extensão.


Language: pt


MATERIAIS E MéTODOS: Neste trabalho foram estudados os aspectos tomográficos de 40 pacientes com trauma torácico aberto, sendo 35 casos causados por lesão por arma de fogo (85,8%) e 5 por arma branca (14,2%).


Language: pt


RESULTADOS: As lesões pulmonares predominaram, tendo sido observadas em 39 casos (97,5%), manifestadas sob a forma de contusões em 34 (85%), atelectasias em 8 (20%), lacerações em 1 (2,5%) e hematomas em 1 (2,5%). Hemotórax foi demonstrado em 31 casos (77,5%) e pneumotórax em 22 casos (55%). Lesões mediastínicas estiveram presentes em 8 casos (20%), com hematoma mediastínico em 3 casos (7,5%), hemopericárdio em 3 (7,5%) e pneumomediastino em 2 (5%). Lesão diafragmática foi observada em 2 pacientes (5%).


Language: pt


CONCLUSãO: A tomografia computadorizada de tórax, nos casos de trauma torácico aberto, permite caracterizar os órgãos acometidos, avaliar o trajeto das lesões, sua gravidade e extensão, sendo útil na estimativa de risco de vida e na escolha das abordagens terapêuticas.


Language: pt

Keywords

Thoracic injuries; Tomography, X-ray computed; Wounds, penetrating

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