Pulmonary contusion in children: diagnosis and management.

Abstract:

BACKGROUND:Pulmonary contusion (PC) is the most common injury identified in pediatric blunt chest trauma. The disagreement over management principles of children with PC may complicate care of these patients. METHODS:We reviewed the literature and our institutional experience. RESULTS:Pulmonary contusion is most often diagnosed by chest roentgenogram, with computed tomography of the chest reserved for more precise evaluation of the mediastinum and aorta. Hypoxemia and respiratory mechanical insufficiency are the most common causes of morbidity from early chest injury. Complications include pneumonia and the adult respiratory distress syndrome, which together may occur in up to one half of all cases. CONCLUSIONS:Early diagnosis, maintaining euvolemia, and selective mechanical ventilation may help to limit morbidity. Management guidelines based on the available literature may improve the care of these patients.

journal_name

South Med J

journal_title

Southern medical journal

authors

Allen GS,Cox CS Jr

doi

10.1097/00007611-199812000-00002

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

1099-106

issue

12

eissn

0038-4348

issn

1541-8243

journal_volume

91

pub_type

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