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Chấn thương ngực
Chấn thương ngực
PHN MM
XNG SN
XNG C
DP PHI
TIM
MCH MU
V C HONH
THOT V HONH
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MNG SN DI NG
TKMP N THUN
TKMP H
TKMP P LC
DP C TIM
CHN THNG M CH
O. Genc, M. Dakak, S. Grkk, A. Gzbyk, K. Balkanli: Thoracic Trauma And Management. The Internet Journal of Thoracic and Cardiovascular Surgery . 2000 Volume 4 Number 1
Khan MLZ, Haider J, Alam SN, Jawaid M, Malik KA. Chest Trauma Management:Good outcomes possible in a general surgical unit. Pak J Med Sci 2009;25(2):217-221.
NGUYN NHN TH 2 GY T VONG SAU CHN THNG S NO CHIM T L 20% TRONG CC TH T VONG DO CHN THNG
KHM LM SNG
NHN
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Nhp th v mc th
KHM LM SNG
S
Xng sn Xng n Xng b vai Ct sng
NGHE
m kh qun ph phn ph nang
GY XNG SN
GY XNG SN
DNG CHN THNG THNG GP NHT
GY XNG SN
TNG THNG M HoC KH QuN 30% T VONG
11
MNG SN DI NG
N:
XQ: GY 2 HoC NHIU V TR TRN 1 XNG SN NHIU XNG SN
(>2) LIN TiP LS: THY C S NGHCH THNG CA MNG SN THEO NHP H HP
THNG GP NGI GI
DO LC TC NG MNH V DiN RNG
14
CLS:
XQ: Hnh nh trn kh hnh nh xp phi th ng
1993
T: c vnh kh bao xung quanh phi
2003
Tnh khong cch t mng phi thnh ti
Estimation of size of pneumothorax under the new BTS guidelines. Thorax 2004;59:355-359
X TR
THEO DI KHNG CN H TR OXI
TKMP t (15-20% - <1cm), khng kh th
OXI H TR
Oxi qua mi 3l/pht
GII P
Chc ht kh bng kim catheter t vale 1 chiu (Heimlich valve) t dn lu mng phi M ngc khu phi thng
28
TRN KH DI DA
GP C TRONG CHN THNG NGC V VT THNG NGC NN: KH RA T PHI-KH PH QUN KHI C TN THNG HOC T NGOI DA VO KHI C VT THNG H DA TRN KH DI DA C TH XUT HIN NGC C - U MT BNG BU T CHI
Hamman's syndrome
Postpartum pneumomediastinum Louis Hamman (18771946), the physician who described pneumomediastinum in association with subcutaneous emphysema during pregnancy in 1945 Typically occurs in young, healthy, primiparous women Rupture of marginal alveoli with air entering into the mediastinum is the most
CLS:
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CH NH M NGC
t dn lu ra > 1500ml mu Mu tip tc ra 150-200ml/gi trong 2-4 gi C du hiu tip tc chy mu (CTM) hoc c truyn mu nhiu ln.
Nathan T. Mowery, MD et al. Pratice management guidelines for management of hemothorax and occult pneumothorax. The journal of trauma. Vol70. No2. 2011: 510-18.
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CHN P TIM
CHN P TIM
KHI C DCH HOC MU TNG NHANH TRONG KHOANG MNG TIM NN: UNG TH PHI GIAI oN CuI, PHNH MC NGC V, VIM MNG NGOI TIM (VI TRNG HoC VIRUS), SAU PHU THUT TIM, NHI MU C TIM CP, VT THNG TIM LS: KH TH, TH NHANH NNG, TT HUYT P, GiM HoC MT MCH NGOI
BIN, DA TI XANH, KCH THCH VT V, M HI, NHP TIM NHANH, TiNG TIM
M, TM C NI XT: CP CU KHN CP
DP C TIM
NN: NHI TIM (QU SC), T CAO TRN 20FEET, TAI NN XE HI (V LNG P THNG VO NGC) LS: AU NGC SAU XNG C, LON NHP, HA TT, CLS: ECG (BLOCK NHNH P), XOANG NHANH, VN NG NGHCH THNG THNH THT, MEN TIM THAY I XT: OXI H TR, CHNG LoN NHP, GiM AU
V NG MCH CH
CHT NGAY TRONG VNG CHA Y 1 PHT DO KHNG TH CM MU THNG V V TR GN NG NG MCH
V KH PH QUN
T DN LU MNG PHI
X TR CC BT THNG
H thng khng kn: Nhanh chng lm kn h thng
X TR CC BT THNG
Chy dch chn ng:
m bo h thng kn, thng tt
Khu da kn (*)
CHM SC
m bo chm sc chn ng dn lu chng NT
Dung dch trong bnh khng v khun khi thay hay mu, m
H thng khng kn, a vi trng t mi trng ngoi vo qua ng DL
CH NH RT DN LU MNG PHI
ng dn lu tc, khng hot ng c.
Phi n tt
ODL qu 72 gi