Chest Injury

Bawah ni sume gambar2 jnis chest injury! let's see, k?

Hemothorax

Hemothorax

Chest tube

FLAIL CHEST @ FRACTURE RIBS

CHEST TUBE

Oke, ary ni satu lg toturial, k? hehe...sume ni utk revision je..coz bsOk ada kuiz! huhu.. asesmen tu!

K... Trauma di dada blaku dsbabkn:
1-kmlgan jlan rya
2. Jnyah- tkaman, tmbakan
3. Jatuh

Trauma tbhgi kpd 2:
1. Penetrating injury (luka tmbus)
2. Non penetrating injury ( cdra akbat hntakan bnda tmpul)

Jenis2 trauma:
1. Pneumothorax
2.Hemothorax
3. Flail chest (fracture ribs)

A) PNEUMOTHORAX.

Dfnisi
- Pgmpulan udara diruang pleura akbat kcdraan atau pyakit.

Etiologi
-Penetrating chest wound
-Barotrauma to the lung- pbzaan tknan dlm intrapleura dn atmosfera.
-komplikasi dr prsedur invasif
-pykit- cth: COAD-emphysema
-Spontaneous pneumothorax- Marfan syndrome-pnca sbnr xdkthui. bkait dgn tisu connective yg abnormal.

Spontaneous pneumothorax

Jnis Pneumothorax
a) spontaneous pneumothorax
-akbt pmcahan 'blebs' d pmkaan paru2 & udara msuk ke ruang pleura.

traumatic pneumothorax

b) traumatic pneumothorax.
-dsbabkn udara msuk ke kvti pleura. mgkn dr tkaman atau tusukan.
 i. closed pneumonia-tulg rsuk ptah-ttkam pd bhgian parietal atau visceral pleura.
ii. open pneumonia- tkman/ tmbakan yg mnmbusi dinding dada-pbkaan dbhgian dada-udra msuk.
iii. Latrogenic pneumonia- dr prsedur invasif.      

b) tension pneumothorax-kmsukan udra akbat kcdraan/ tebukan di dinding dada- sebabkn cbisan tisu diluka mbentuk injap 1 hala dmana udara hya bole masuk ttpi tidak bole kuar.- tknan intrapleura tprgkap.- paru2 akn collapse-akn tolak dn pesongkn kddukan organ2, salur darah yg bdkatan.-akn ggu pnfsan dn fgsi sirkulasi drah.

Manifestasi klinikal tension pneumonia
-sakit dada tiba2
-dyspnea
-distensi vena jugular
-tachycardia
-hypotension
-air hunger

Manifestasi klinikal pneumothorax mild ke sederhana.
-skit dada tiba2
-dyspnea
-tachypnea
-pgmbangan dada yg x semetri
-xada bunyi kmsukan udara

Man. Klinikal bagi Severe pneumothorax
1. severe pleuritic pain
2.dyspnea @ air hunger
3. anxious
4. Pgmbangan dada smkin bkurang
5. subcutaneous emphysema
6. trachea deviation
7.Pnurunan BP