Foreign body in chest
Introduction
Introduction to foreign body in the chest Foreign bodies in the chest are more common in foreign bodies caused by various chest injuries. The foreign bodies in the chest are more common in the chest penetrating wounds. Common foreign bodies overflowing in the chest have metal fragments or bullets. The principle of emergency treatment is debridement and hemostasis, correcting shock, maintaining respiratory function and preventing infection. basic knowledge Sickness ratio: 0.0001% Susceptible people: no special people Mode of infection: non-infectious Complications: chronic bronchitis, lung abscess, bronchiectasis, empyema
Cause
Cause of intrathoracic foreign body
Foreign bodies in the chest are more common in chest penetrating injuries. Common foreign bodies overflowing in the chest have metal fragments or bullets.
Prevention
Intrathoracic foreign body prevention
Pay attention to rest, work and rest, and orderly life.
Complication
Intrathoracic foreign body complications Complications chronic bronchitis lung abscess bronchiectasis empyema
The main complication of intrathoracic foreign body infection is intrathoracic infection. Laustela followed up with 502 serious wounded people in Finland during World War II. Only 20% of the wounded patients with intrathoracic foreign body found complications, and 104 of them developed symptoms later. 39 patients had chronic bronchitis, 31 had lung abscess, 24 had empyema, 5 had bronchiectasis, and 5 had bronchopleural fistula.
Symptom
Common symptoms in the chest common symptoms chest pain dyspnea shock
Mainly chest pain, difficulty breathing, hemorrhagic shock and other chest trauma.
Examine
Examination of foreign bodies in the chest
X-ray or CT examination of the chest can be seen in the chest. CT diagnosis is generally plain CT, enhanced CT and cerebral angiography CT. The plain scan CT is generally a cross-sectional scan, and the auditory sputum line is mostly used as a baseline, and the scan is continuously performed upward or downward. Contrast agents commonly used in enhanced CT scans are 60% diatrizoate, 1.5 to 2.0 ml per kilogram of body weight. Anyone with a history of allergies and heart and kidney failure is banned from 60% diatrizoate.
Diagnosis
Diagnosis and identification of foreign body in the chest
According to the history of chest trauma and X-ray findings, it is easier to diagnose.
