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Journals / SDÜ Tıp Fakültesi Dergisi / 2023 / Cilt: 30 Sayı: 4

POST-TRAUMATIC RESPIRATORY FAILURE CASE PRESENTATION AND İMPORTANCE OF DIFFERENTIAL DIAGNOSIS IN YOUNG PATIENT

GENÇ HASTADA TRAVMA SONRASI GELİŞEN SOLUNUM YETMEZLİĞİ OLGU SUNUMU VE AYIRICI TANININ ÖNEMİ

Sahinur Aycan Alkan(afyonkarahisar devlet hastanesi)0000-0001-8233-2639
Pages
746–749
Publication Date
2023-12-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The fact that the patient has not been able to reach the exact diagnosis in the first cardiac assessment due to the unstable clinic also emphasizes the importance of recurrent cardiac evaluation in patients presenting with chest wall trauma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Respiratory failure after blunt thorax trauma can develop for common causes such as pneumothorax, hemothorax, as well as with pulmonary contusion, pulmonary hemorrhage, ARDS (acute respiratory distress syndrome) or secondary bacterial infections.
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Key Findings & Data:In our case, the 19-year-old male patient described the lung edema, which was formed by the cause of acute mitral valve papillary muscle rupture and acute mitral insufficiency.
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Conclusion & Impact:The fact that the patient has not been able to reach the exact diagnosis in the first cardiac assessment due to the unstable clinic also emphasizes the importance of recurrent cardiac evaluation in patients presenting with chest wall trauma.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Akut mitral yetmezliğe bağlı akciğer ödemi · Mitral papiller kas rüptürü · Travma sonrası akciğer ödemi

Abstract

Respiratory failure after blunt thorax trauma can develop for common causes such as pneumothorax, hemothorax, as well as with pulmonary contusion, pulmonary hemorrhage, ARDS (acute respiratory distress syndrome) or secondary bacterial infections. These patients may also rarely experience lung edema secondary to cardiac causes. Mitral valve papillary muscle rupture is vital for this condition, as it requires urgent surgical intervention. In our case, the 19-year-old male patient described the lung edema, which was formed by the cause of acute mitral valve papillary muscle rupture and acute mitral insufficiency. The fact that the patient has not been able to reach the exact diagnosis in the first cardiac assessment due to the unstable clinic also emphasizes the importance of recurrent cardiac evaluation in patients presenting with chest wall trauma.

Özet

Künt toraks travması sonrası solunum yetmezliği; pnömotoraks, hemotoraks gibi sık karşılaşılan nedenlerle gelişebildiği gibi pulmoner kontüzyon, pulmoner hemorajı, ARDS (akut solunum yetmezliği sendromu) ya da sekonder bakteriyel enfeksiyonlar ile de görülebilir. Bu hastalarda ayrıca nadiren de olsa travma sonrası oluşan kardiyak patolojilere sekonder akciğer ödemi tablosu gelişebilmektedir. Mitral kapak papiller kas rüptürü bu durumun nadir sebeplerinden biridir. Ancak acil cerrahi girişim gerektirmesi nedeni ile erken tanısı hayati önem taşımaktadır. Olgumuzda 19 yaşında erkek hastada künt toraks travması sonrası gelişen mitral kapak papiller kas rüptürü ve akut mitral yetmezlik nedeni ile oluşan akciğer ödemi tablosu anlatılmıştır. Hastanın klinik olarak stabil olmaması nedeni ile ilk kardiyak değerlendirmesinde kesin tanıya ulaşılamamış olması da göğüs duvarı travması ile başvuran hastalarda tekrarlayan kardiyak değerlendirmenin önemine ayrıca vurgu yapmaktadır.

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Cite This Article

Alkan, S. A. (2023). POST-TRAUMATIC RESPIRATORY FAILURE CASE PRESENTATION AND İMPORTANCE OF DIFFERENTIAL DIAGNOSIS IN YOUNG PATIENT. SDÜ Tıp Fakültesi Dergisi, Cilt: 30 Sayı: 4, 746–749. https://doi.org/10.17343/sdutfd.1307349

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