ﺑﺮرﺳﯽ ﭘﺎﺗﻮﻓﯿﺰﯾﻮﻟﻮژي و درﻣﺎن ﮐﺎﻧﺘﯿﻮژن رﯾﻮي

Lung Contusion Pathophysiology and Management Review

ﮐﺎﻧﺘﯿﻮژن رﯾﻮي ﺑﻪ آﺳﯿﺐ ﻋﺮوق آﻟﻮﺋﻮﻟﯽ، ﺑﺪون ﭘﺎرﮔﯽ در ﺑﺎﻓﺖ رﯾﻮي اﻃﻼق ﻣﯽﮔﺮدد. آﺳﯿﺐ ﻗﻔﺴﻪ ﺻﺪري و ﻋﻮارض ﻧﺎﺷﯽ از آن، ﻣﺴﺌﻮل ﺑﯿﺶ از 25 درﺻﺪ ﻣﺮگ و ﻣﯿﺮ در ﺑﯿﻤﺎران ﺑﺎ ﺗﺮوﻣﺎي ﻏﯿﺮﻧﺎﻓﺬ ﻣﯽﺑﺎﺷﺪ. ﮐﺎﻧﺘﯿﻮژن رﯾﻮي ﺑﻪ ﻋﻨﻮان ﺷﺎﯾﻌﺘﺮﯾﻦ آﺳﯿﺐ در ﺑﯿﻤﺎران ﺑﺎ ﺗﺮوﻣﺎي ﻏﯿﺮﻧﺎﻓﺬ ﻗﻔﺴﻪ ﺻﺪري اﺳﺖ ﮐﻪ ﺷﯿﻮع 25 ﺗﺎ 75 درﺻﺪ دارد. ﺑﻪ ﻋﻠﺖ ﻋﺪم ﺷﻨﺎﺧﺖ ﮐﺎﻣﻞ ﭘﺎﺗﻮﻓﯿﺰﯾﻮﻟﻮژي و ﻋﺪم وﺟﻮد دﺳﺘﻮراﻟﻌﻤﻞﻫﺎي درﻣﺎﻧﯽ ﻣﻨﺎﺳﺐ، ﻣﯿﺰان ﻣﺮگ و ﻣﯿﺮ ﻧﺎﺷﯽ از ﮐﺎﻧﺘﯿﻮژن رﯾﻮي ﺗﻐﯿﯿﺮ واﺿﺢ ﻧﺪاﺷﺘﻪ اﺳﺖ. در ﺣﺎل ﺣﺎﺿﺮ، ﺗﻀﺎدﻫﺎي درﻣﺎﻧﯽ ﺑﻪ ﺧﺼـﻮص در زﻣﯿﻨﻪ ﻣﺎﯾﻊ درﻣﺎﻧﯽ و ﺣﻤﺎﯾﺖ ﺗﻨﻔﺴﯽ در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﮐﺎﻧﺘﯿﻮژن رﯾﻮي وﺟﻮد دارد. ﻫﺪف از اﯾﻦ ﺑﺮرﺳﯽ، ﺑﺮرﺳﯽ ﮐﻤﯿﺖ و ﮐﯿﻔﯿـﺖ ﯾﺎﻓﺘﻪﻫﺎي ﻋﻠﻤﯽ، ﺟﻬـﺖ ﭘﺎﺳﺦ ﺑﻪ ﺳـﺆاﻻت ﺷﺎﯾﻊ ﻣﯽﺑﺎﺷﺪ. در اﺑﺘﺪا ﺟﺴﺘﺠـﻮي ﮐﺎﻣﭙﯿـﻮﺗﺮي در Med Line، PubMed و Elsevier ﺟﻬﺖ ﺑﺮرﺳﯽ ﻣﻘـﺎﻻت اﻧﮕﻠﯿﺴﯽ ﻣـﺮﺗﺒﻂ ﺑﺎ ﺳﺆاﻻت ﻣﻮﺟﻮد ﺗﺎ ﺗﺎرﯾﺦ 2016 اﻧﺠـﺎم ﺷﺪ. از دو واژه ﮐﻠﯿﺪي ﮐﺎﻧﺘﯿﻮژن رﯾﻮي" و "ﺗﺮوﻣﺎي ﻗﻔﺴﻪ ﺳﯿﻨﻪ" ﺟﻬﺖ ﺑﺮرﺳﯽ اﺳﺘﻔﺎده ﮔﺮدﯾﺪ.

Lung contusion is an entity involving injury to the alveolar capillaries, without any tear or cut in the lung tissue. Blunt chest trauma and related complication is associated with 25% mortality. Lung contusion is one of the most dangerous complications of blunt chest trauma and occurs in 25-75% of all blunt chest traumas. PubMed, Elsevier and Medline search with two keywords, lung contusion and chest trauma, was done till 2016 for the most important questions. Despite of decrease in the prevalence of lung contusion, the mortality and morbidity of this entity have not been improved during the last decades, due to misunderstanding of pathophysiology.