Doctor insights on:
The lungs are surrounded by a thin tissue or membrane called pleura. When fluid enters the "pleural space" it's called a pleural effusion or hydrothorax. If blood is the fluid it is called a hemothorax. Usually this is due to an injury If there is respiratory distress the fluid needs ...Read more
Several: Chest pain, shortness of breath, cough & secondary effects of blood loss (such as lightheadedness, dizziness, fast heart beat, pale color, cold clammy extremities, feeble pulses etc.). The extent and severity of symptoms depends upon the size of the hemothorax and its cause. Please talk to your doctor if you have any concerns. ...Read more
Hemo = blood.....:
Thorax = chest.
Blood filling the chest cavity usually caused by penetrating trauma but can be due to blunt injury with a rib fracture or aortic tear. Can also be due to ruptured artery aneurysm (rare).
Cause of death secondary to lung compression and Great Vessel compression ...Read more
Blood: In a nut shell- not much, in the chest, it can be a problem (sorry, couldn't resist the set up line). Hemothorax is blood in the pleural space, and it can lead to big problems if the blood is not evacuated as completely as possible. It can be caused by trauma or by some medical procedures (e.g. Biopsies). Blood can "harden" around the lung, causing lost lung function and sometimes chronic infxn. ...Read more
A. Make sure the patient has an open airway (may require breathing tube).
B. Make sure the patient can breathe. In case of a massive hemothorax, this involves draining the blood out of the chest with a tube so that the lung can expand and exchange gas.
C. Ensure adequate circulation. The patient may require fluid or blood resiscitation, as well as control of the bleeding.
That's just abc. .. ...Read more
Short of breath: Hemothorax means 'blood surrounding the lung'. Invariably, hemothroax is caused by a major trauma to the rib cage. Multiple rib fractures can bleed (internally) into the pleural space causing the 'hemothorax' which can produce symptoms of: shortness of breath and pain. Usually the blood is drained through a 'chest tube' placed into to pleural space. The prodecure is done by er doctor or surgeon. ...Read more
Trauma: The most common cause of hemothorax is either blunt (e.G automobile accidents, falls, assault), or penetrating trauma to the chest (knife, gunshot, stabbed by a unicorn or gored by a rhinoceros). Rarely, hemothorax occurs when vessels in the chest are injured in the course of chest surgery or less invasive procedures done to drain fluid from, or biopsy something, in the chest. ...Read more
Hemothorax: The lungs are surrounded by a thin tissue or membrane called pleura. When fluid enters the "pleural space" it's called a pleural effusion or hydrothorax. If blood is the fluid it is called a hemothorax. Usually this is due to an injury If there is respiratory distress the fluid needs to be emergently removed ...Read more
Luck & good surgeon: Massive hemothorax is more than 1.5 Liters of blood in the chest. If from trauma and it is treated promptly with evacuation by a chest tube and surgery, if indicated, survival can be good, assuming the patient is alive when they arrive in the ER. Even cardiac injuries, which bleed into the chest, can be repaired successfully. Make no mistake, though, this is life-threatening. ...Read more
Chest tube: Most often, placing a tube into the chest can drain the blood from the chest effectively. Most bleeding from chest injuries stops on its own. However, an operation may be required for ongoing bleeding, or when bleeding has stopped, but the blood hasn't been well drained. In the latter situation, many surgeons are able to performs minimally invasive chest surgery, called vats. ...Read more
Trapped lung, BAD!: Blood in the thorax will essentially "harden" for lack of a better term, surround and trap the lung (like a thick leathery blanket wrapped around your otherwise healthy lung tissue, rendering it useless). This can lead to chronic infection, loss of lung function, and a significant impact on your quality of life. Hemothorax should be drained as completely and as quickly as possible. ...Read more
Long: It may take up to a year before you fully recover from all the damage. ...Read more
Air or blood: Pneumothorax is an accumulation of air outside your lung but inside your chest/ribcage. Hemothorax is an accumulation of blood outside your lung but inside your chest/ribcage. Both may be commonly described as "collapsed lung" because the air and/or blood in this space displaces your lung and prevents complete expansion of your lung. ...Read more
When to thoracotomy when videothoracoscopy with hemothorax. If there are recommendations, please give a link to the article.
Acute hemothorax may be solved with a chest tube alone.
If not then video assisted vats may suffice.
If it persists and is thick and not draining, then either vats may allow adequate visualization and suction drainage of the clot.
Some chronic thick, stuck clots may require open thoracotomy and decorticating of the fibrous peel.
Articles over the years and in trauma and military's. ...Read more
Chest pain: Hemothorax and tension pneumothorax will both present with chest pain and shortness of breath. Both can also present with severely low blood pressure. However, this can depend on the amount of blood lost in a hemothorax. Both are considered surgical emergencies and need to be treated. ...Read more
Major organ damage: A hemothorax is when bleeding occurs in the chest cavity collapsing the lung. This suggests significant injury to lung, heart, or major vessels in chest cavity. A pneumothorax can be severe and life threatening as well but can occur with very little trauma to the lung. It is easily managed with a chest tube. ...Read more
Simple: Simple chest x-ray pa and lateral views or cat scan thorax diagnostic. ...Read more
What is in the chest: Tension pneumothorax occurs when air under pressure fills the space around the lung. This can compress the heart and impede blood from entering the heart. Hemothorax occurs when blood is filling the space around the lungs. You can have both air and blood in your chest. Both conditions can be dangerous and require management by a physician. ...Read more
Hello I am a russian doctor. I am writing a thesis on hemothorax. Please tell me whether there are specific recommendations for u.S. Treatment selecti?
Check on google: There is a lot of information. This would be a whole book. ...Read more