Prevalencia, diagnóstico y tratamiento de las lesiones pulmonares traumáticas

  • Patrizio Petrone NYU Winthrop Hospital
  • Adriana Ruano Campos NYU Winthrop Hospital
  • Amir Gendy NYU Winthrop Hospital
  • Collin E.M. Brathwaite NYU Winthrop Hospital
  • D´ Andrea K. Joseph NYU Winthrop Hospital
Palabras clave: lesión pulmonar; heridas y lesiones; epidemiología; diagnóstico; tratamiento de urgencia; tera- péutica; cirugía.

Resumen

La lesión pulmonar es relativamente infrecuente en el paciente politraumatizado y, posiblemente, subdiagnos- ticada inicialmente debido a su habitual asociación con otras lesiones aparentemente más graves, en particular tras el traumatismo cerrado. Por ello, es de vital importancia su diagnóstico precoz ya que puede conllevar con- secuencias fatales si no se diagnostica a tiempo.

Dada su localización anatómica, es habitual que se acompañe de lesiones concomitantes de otros órganos y estructuras vasculares intratorácicas, lo cual, unido a la necesidad ocasional de maniobras quirúrgicas críticas, resulta en altas tasas de morbimortalidad.
El objetivo del trabajo fue estudiar las características de estas lesiones, incluyendo su incidencia, su mecanismo, y las técnicas diagnósticas y opciones terapéuticas disponibles, tanto quirúrgicas como no quirúrgicas. Además, se analizaron la evolución y el pronóstico de estos pacientes, con base en una revisión bibliográfica de 1965 hasta 2018.

Fecha de recibido: 16/10/2018 – Fecha aceptación: 15/11/2018

Biografía del autor/a

Patrizio Petrone, NYU Winthrop Hospital

Director of Surgical Research, Department of Surgery, Associate Professor of Surgery, NYU Winthrop Hospital, Mineola, NY, USA

Adriana Ruano Campos, NYU Winthrop Hospital

Division of Trauma and Acute Care Surgery, Department of Surgery, NYU Winthrop Hospital, Mineola, NY, USA

Amir Gendy, NYU Winthrop Hospital

Division of Trauma and Acute Care Surgery, Department of Surgery, NYU Winthrop Hospital, Mineola, NY, USA

Collin E.M. Brathwaite, NYU Winthrop Hospital

Chairman, Department of Surgery, Associate Professor of Surgery, NYU Winthrop Hospital, Mineola, NY, USA

D´ Andrea K. Joseph, NYU Winthrop Hospital

Chief, Division of Trauma and Acute Care Surgery, Department of Surgery, NYU Winthrop Hospital, Mineola, NY, USA

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Publicado
2019-05-14
Sección
Artículo Original