Author/Editor		Borovšak, Zvonko; Zorko, Nuša
Title		Udarnina pljuč in akutna dihalna stiska pri odraslih - ARDS
Translated title		Pulmonary contusion and adult respiratory distress syndrom - ARDS
Type		članek
Source		In: Crnjac A, editor. Zbornik predavanj Strokovni simpozij z mednarodno udeležbo ob 50-letnici Oddelka za torakalno kirurgijo; 2004 nov 19; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2004
Volume		str. 119-25
Language		slo
Abstract		Flail chest develops in as many as 20 percent of adults hospotalized for blunt chest trauma. The vast majority are secundary to rapid deceleration in motor vehicle accidents. The compliant rib cage of children makes flail chest a rarity in the pediatric population. A flail chest can develop when three or more ribs or costal cartilages are fractured in two places and can be located anywhere on the concavity of the thorax. More than 90 percent of people wifh a pulmonary contusion have an associated intrathoracic injury Pulmonary contusion can be localised or diffuse. Parenchymal lateration is most common and initially represents a mechanical microvascular injury with alveolar haemorrghage. The secondary inflammatory reaction rapidly ensues and produces pulmonary edema, regional alterations in lung compliance, airway resistance and ventilationlperfusion inequality. Therefore pulmonary contusion can lead to ARDS due to the effect of inflammatory mediators derived either from injured lungs orland associated injuries. Early recognition of pulmonary contusion using CT scan as "golden standard" specific management after successful resuscitation, aggressive stabilisation of fractures can prevent ARDS and lower mortality.
Descriptors		THORACIC INJURIES LUNG FLAIL CHEST WOUNDS, NONPENETRATING RESPIRATORY DISTRESS SYNDROME, ADULT ADULT