MEDICAL REHABILITATION IN PATIENT WITH RIGHT HEMOPNEUMOTHORAX
Abstract
Hemothorax refers to a collection of blood within the pleural cavity. By deï¬nition this bloody pleural effusion should contain a haematocrit value of at least 50% of the haematocrit of peripheral blood.1Pneumothorax is defined as the collapse of lung due to presence of air between parietal and visceral pleural cavity.This air pushes on the outside of the lung and makes it collapse. In most cases, only a portion of the lung collapses. Patients commonly have pleuritic chest pain, dyspnea, tachypnea, and tachycardia. Breath sounds may be diminished and the affected hemi thorax hyper was resonant to percussion-mainly with larger pneumothorax. Pneumothorax may be described as simple pneumothorax or tension pneumothorax. It can also be classified as open, closed and occult pneumothorax.2,3
Hemopneumothorax is the presence of both blood and air in the pleural cavity and may be caused by blunt or penetrating trauma.Stab wounds are the main cause of penetrating injuries.4,5 Early detection and treatment of hemopneumothorax is of most importance in prognosis of the patient. About 60% of polytraumas are associated with thoracic trauma. 150,000 Americans die due to trauma every year and it is the most common cause of death in the population 50% of patients dying immediately and less than 10-15% surviving until hospital admittance with critical vital signs.6
The traumatic hemopneumothorax is a result of blunt or penetrating trauma. Numerous factors affect the respiratory response. A trauma associated respiratory failure may occur directly or indirectly. An indirectly associated respiratory failure occurs because of pulmonary infection, fibrothorax as a late complication and trauma in a patient with underlying disease. Needle aspiration as a definitive treatment of a hemopneumothorax is an obsolute intervention. The adequate approach to a hemopneumothorax is a complete evacuation of retained clots either by tube thoracotomy. A chest tube is commonly sufficient to accomplish this goal.6
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