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At least 829 records · Page 46Linked to original sources
PubMed1979

[X-Ray findings of the complications of central venous catheters (author's transl)].

The increasing use of central venous catheters requires knowledge of possible hazards. Complications such as pneumothorax, hemothorax, hematomas in the chest wall or mediastinum and pulmonary emboli caused by the catheter are easily seen on plain chest films. Cardiac tamponade, perforation of vessels, air emboli and thrombosis have to be considered as a possible cause in case of sudden deterioration of a patient.

Adult↗
PubMed1979

[X-ray controlled percutaneous needle aspiration biopsy of the lungs (author's transl)].

Between 1976 and 1978 percutaneous needle aspiration biopsies of 120 pulmonary and pleural lesions were performed. Cytologic examination of malignant and benign lesions was correct in 64% of the cases, false negative results were obtained in 19%. Complications included: pneumothorax in 21 patients (11 requiring chest tube placement); insignificant hemothorax in 5 and hemoptysis in 1. Needle biopsy of intrathoracic lesions proved to be technically simple and relatively safe. This procedure allows early diagnosis of malignant lung tumours which may improve long term prognosis.

Adolescent↗
PubMed1978

Blunt and penetrating chest trauma.

Blunt or penetrating trauma to the chest can cause several life-threatening conditions: open or closed pneumothorax, each with or without hemothorax; flail chest; pericardial tamponade, and injury to other structures in the chest--the esophagus, trachea or great vessels. Any trauma sufficient to compromise function of thoracic organs must also be suspect for extrathoracic injuries, especially to the spleen and other abdominal viscera.

Hemothorax↗
PubMed1982

[Primary reticulum-cell sarcoma (Parker-Jackson sarcoma) of the rib. Report of a case with a five-year survival after surgery, radiation therapy and chemotherapy (author's transl)].

A case of primary reticulum-cell sarcoma of the rib is reported. This rare tumor arose in an unusual site and was revealed by an exceptional clinical picture. Extensive hemothorax was the initial manifestation. Follow-up exceeds five years. Prognosis is not as poor for reticulum-cell sarcoma as for Ewing sarcoma. After radical surgery, radiation therapy and chemotherapy, the five-year total remission rate approximates 50%.

Adult↗
PubMed1982

Complications of subclavian catheter hemodialysis: a 5 year prospective study in 257 consecutive patients.

The complications related to the use of subclavian catheters for hemodialysis were prospectively studied in 257 consecutive acute and chronic renal failure patients. Using 394 catheters, 3006 single needle dialyses were performed. Indications for starting catheter dialysis were mainly the absence or disappearance of an adequate vascular access. Most hazardous complications were sepsis (9), malposition (6), hemothorax (3), bleeding (2), vena cava thrombosis (2) and pneumothorax (2). A number of mechanical problems occurred, where the obstructed catheter could easily be replaced by a modified Seldinger technique. No mortal complications occurred. Patient tolerance was excellent. It is concluded that single needle subclavian hemodialysis is a valuable alternative vascular access method in acute situations. It enables the continuation of hemodialysis on an ambulatory basis.

Acute Kidney Injury↗
PubMed1978

[Coagulative and fibrinolytic properties of blood effused into the pleural cavity after lung surgery].

Coagulative properties of the blood and exudate accumulated in the pleural cavity following lung operations were studied. On the grounds of the studies of plasmin potential and active antiplasmin of the exudate a method of local fibrionolytic therapy of coagulated hemothorax with intrapleural injections of fibrinilysis activators was devised. Fibrinolytic therapy was applied in 106 patients, streptokinase preparations were injected to 28 of them.

Blood Coagulation↗
PubMed1995

[Primary hemangiopericytoma of the chest wall: a case report].

We describe a rare male case of malignant hemangiopericytoma of the chest wall. An extrapleural chest wall mass about 1.5 x 4 cm in size was detected along the right 3rd rib on a chest roentgenogram when the patient was 58 years old. The tumor did not enlarge for over 12 years thereafter. At the age of 73 years, the patient came to our hospital for chest pain after a traffic accident. A roentgenogram revealed the extrapleural tumor of the chest, which was enlarged to 8 x 12 x 7 cm, and right hemothorax. The tumor was resected together with the 3rd and 4th ribs. Light and electron microscopy and immunostaining studies led to a diagnosis of malignant hemangiopericytoma. The postoperative course was uneventful, and radiotherapy and chemotherapy were performed. The patient has been well without recurrence for 18 months after the operation. We also reviewed 9 cases of this tumor reported in Japan.

Aged↗
PubMed1995

[Closed traumas of the thorax. Assessment of two years activity at the Dakar Trauma Center].

Two years after opening the Dakar Trauma Center has received 179 cases of blunt chest trauma without prehospital treatment. Road accidents were the leading cause. The initial mortality was 29 patients (16.20%) and 150 patients arrived alive and were treated. The initial mortality was primarily due to the associated extrathoracic injuries mainly hemorrhagic with hemoperitoneum in 44.82% and brain hemorrhage in 24.14% of cases. Secondly, it was due to the thoracic injuries with 41.37% of anterior flail chest and massive hemothorax in 65.51% of cases. Among the 150 patients treated, 42% had extrathoracic injuries, mainly head trauma. 56% were admitted to intensive care units with 39 chest drainages and 6 thoracotomies were performed. The mortality in this group was about 11.33%. The very high initial mortality could be reduced by the organisation of prehospital treatment to take better care of patients involved in road accidents.

Accidents, Traffic↗
PubMed1994

Randomized study of algorithms for discontinuing tube thoracostomy drainage.

BACKGROUND: The optimal method for removal of chest tubes has not been determined and opinion remains divided. The purpose of this study was to determine the difference between two algorithms for the removal of chest tubes: one with continuous negative intrathoracic pressure (suction group) and the other with a trial of water seal (water-seal group). STUDY DESIGN: This study was a prospective randomized trial of 80 trauma patients requiring tube thoracostomies. RESULTS: Both methods of chest tube removal had similar incidences of recurrent pneumothorax (2.5 percent). The suction group had a shorter total chest tube time (72.2 hours versus 92.5 hours, p = 0.013) and shorter time required to remove the chest tube following air leak resolution (25.2 hours versus 35.6 hours, p = 0.034). Additionally, there were more patients requiring prolonged (greater than 36 hours) removal times in the water-seal group (p = 0.009). CONCLUSIONS: Both suction and water-seal methods for chest tube removal are effective and have similar incidences of recurrent pneumothorax. The use of the suction algorithm significantly decreased both chest tube duration and the time taken for chest tube removal. In patients hospitalized for isolated pneumo- or hemothorax, the use of the suction algorithm potentially could lead to shorter length of stay.

Algorithms↗
PubMed1994

Central catheters for hemodialysis: a six month experience of 103 catheters.

UNLABELLED: A prospective study was done during a six-month period to evaluate number, function, difficulties of placement and immediate and late complications of central venous catheters for hemodialysis. One hundred and three catheters were placed, 78 double lumen and 25 single lumen, using Seldinger technique. The places of implantation were: right subclavian in 79, left subclavian in 13, right jugular in 8 and 3 in the right femoral vein; 62 were first catheters. We needed a mean of 2 punctures to enter the goal vein, and in 4 the place of implantation had to be changed. Catheters remained in place for a mean of 21 days. Six catheters were lost to follow-up. Immediate complications were 2 hemothorax, 3 punctures of the artery and 3 malpositioned catheters. Late complications were 12 local infections, 7 associated with sepsis. Twenty catheters occluded but removal was only necessary in 10. There was no statistic difference in incidence of complications between single lumen and double lumen catheters (X2). CONCLUSIONS: 1. Percutaneous central venous catheters is a simple and safe technique to obtain temporary vascular access for hemodialysis. 2. Double lumen catheters have no higher rate of complications than single lumen.

Carotid Artery Injuries↗
PubMed1994

Delayed sequelae of penetrating chest trauma: a plea for early sternotomy.

Penetrating wounds of the anterior chest wall are often associated with cardiac tamponade. Eighty to ninety percent of stab wounds to the heart result in acute tamponade, whereas delayed cardiac tamponade or hemothorax are rare, but hurtful for the patient. Of the cases reviewed, fifty percent of the patients who underwent sternotomy required repair of cardiac injuries. The presented case report adds further justification for early sternotomy in case of precordial penetrating chest injury in the danger zone.

Adult↗
PubMed1993

[A case of intrapleural rupture of pulmonary arteriovenous fistula].

The hemothorax due to rupture of arteriovenous fistula is very rare and only 6 cases of this complication have been reported in Japanese literature. 44-year-old male complained of chest pain and dyspnea. A chest roentgenogram revealed right pleural effusion and an abnormal pulmonary shadow. By further examination including pulmonary angiography, the rupture of pulmonary arteriovenous fistula into right pleural cavity was diagnosed. Partial resection of the right lung containing arteriovenous fistula was successfully performed and postoperative course was uneventful.

Adult↗
PubMed1993

[Injury of pulmonary artery and intrathoracic artery--a surgical case report].

The patient was a 52-year-old man. Tube drainage was performed to the right traumatic hemothorax. Then, 2,000 ml of blood flowed out and bleeding stopped for a time. Four hours later after injury, massive bleeding occurred again. So emergency thoracotomy was performed and we found a laceration in the main pulmonary artery and injury of intrathoracic artery. Pulmonary artery disruption from blunt chest trauma is rare. Further discussion was made by reviewing the related literature.

Accidents, Traffic↗
PubMed1995

[Combined thoracoscopy in thoracoabdominal wounds using ultrasound, the CO2 laser and the plasma jet].

Under analysis is an experience with treatment of 178 patients with thoracoabdominal wounds. The authors have developed a rational curative methods and original thoracoscopic techniques, which allowed to considerably reduce the amount of thoracotomies. Thoracoscopy was performed in 157 (88%) of 178 patients. Indications for thoracotomy were established in 7 patients, in 19 patients only drainage of the pleural cavity was made. Curative thoracoscopy was used in 131 patients, in 60 of them ultrasonic glue hermetization of the lung wound was made, 36 patients had laser photocoagulation of the lung wound, 21 patients had plasma coagulation of pleuro-pulmonary defects, in 14 patients--coagulated hemothorax was removed. Clinical effectiveness of thoracoscopic techniques was more than 90%. Thoracotomy was performed in 28 (15%) patients, in 11 patients it was supplemented with diaphragmotomy. Laparotomy was performed in 167 patients. Lethality was 6.8%.

Abdominal Injuries↗
PubMedDate not supplied

[Pulmonary function after decortication of the lung].

From 1985 to 1994 decortication of the lung was performed in 60 patients. The indications were: specific and non-specific empyema, chronic pleural effusion, chronic pneumothorax and hemothorax. To assess the lung function, the measurements of vital capacity, forced expiratory volume and maximum breathing capacity, as well as blood gas analysis were performed preoperatively and six months after the operation. The slight improvement of lung function was seen postoperatively. Usual postoperative complications were successfully treated. Indications for decortication for the purpose of improving the lung function remain questionable.

Adult↗
PubMed1996

[A case of hamartoma originated from the chest wall].

Hamartoma originated from the chest wall is rare. All reported cases are infant's ones. A 16-year-old man was admitted to our hospital because of chest pain and abnormal shadow in routine chest X-ray film. Thoracotomy was performed under the diagnosis of pulmonary sequestration in the left apical region. However, the operation revealed a tumor originated from the chest wall, which was diagnosed hamartoma by histological examination. Re-operation was required because of hemothorax caused by residual tumor. Second and third ribs were resected with residual tumor. There is no evidence of recurrence one year after the second operation.

Adolescent↗
PubMed1996

[Percutaneous femoro-porto-jugular venovenous shunt in orthotopic liver transplantation].

Veno-venous bypass (VVB) by the percutaneous introduction of cannulas in the right internal jugular vein during liver transplantation may reduce the complications derived from the classical method of axillary vein dissection. The results and complications observed over a two and a half year period in 126 consecutive patients submitted to liver transplantation in whom preparation for femoral-portal-jugular veno-venous bypass was carried out are reported. Twelve complications (9.5%) were observed in the 126 patients. All the complications were due to jugular cannulation and were divided as follows: in 7 patients (5.5%) some of the guide introductions were unsuccessful following multiple punctures; in 2 patients (1.6%) the right carotid artery was punctured; 2 hemothorax (1.6%) were observed and one pneumothorax (0.8%). Forty patients required veno-venous bypass. The blood flows obtained during VVB were suffice in all the cases with a mean +/- standard deviation of 2.21 +/- 0.44 l/min-1. The technique of femoral-portal-jugular veno-venous bypass is a good alternative to the classical method of the axillary approach. It has advantages such as in the speed of installation of VVB and the utility of the large jugular vein during the remainder of the surgery for rapid fluid transfusions. Although the number of complications is low, they may be important thereby hindering intra management and post operative of the patients.

Adult↗