Alternative MedicinesInfectionInjuries
Drugs
   Arm or Leg Fractures
   Asphyxia
   Blunt Chest Injuries
   Blunt and Penetrating Abdominal Injuries
   Burns
   Cerebral Contusion
   Cold Injuries
   Concussion
   Decompression Sickness
   Dislocated or Fractured Jaw
   Dislocations and Subluxations
   Electric Shock
   Fractured Nose
   Heat Syndrome
   Insect Bites and Stings
   Near Drowning
   Open Trauma Wounds
   Penetrating Chest Wounds
   Perforated Eardrum
   Poisoning
   Poisonous Snakebites
   Radiation Exposure
   Rape Trauma Syndrome
   Skull Fractures
   Spinal Injuries
   Sprains and Strains
   Traumatic Amputation
   Whiplash Injuries


Penetrating Chest Wounds

Depending on its size, a penetrating chest wound may cause varying degrees of damage to bones, soft tissue, blood vessels, and nerves.

The risk of death and disease from a chest wound depends on the size and severity of the wound. Gunshot wounds are usually more serious than stab wounds because they cause more severe lacerations and rapid blood loss and because ricochet commonly damages large areas and multiple organs. With prompt, aggressive treatment, up to 90% of patients with penetrating chest wounds recover.

Causes

Stab wounds from a knife or an ice pick and gunshot wounds are the most common penetrating chest wounds. Explosions or firearms fired at close range are the usual source of large, gaping wounds.

Diagnostic tests

Chest X-rays allow evaluation of the injury and confirm chest tube placement. Additional tests may include arteriography, aortography, bronchoscopy, computed tomography scanning, echocardiography, and esophagoscopy.

Treatment

In a penetrating chest wound, treatment involves maintaining a patent airway and providing ventilatory support as needed. Chest tube insertion allows the reestablishment of intrathoracic pressure and drainage of blood from a hemothorax.

The patient's wound needs surgical repair. The patient also may need analgesics, antibiotics, tetanus prophylaxis, and infusion of blood products and I.V. fluids.

 

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