Features of Diagnosis and Treatment of Spontaneous Extraorganic Hematomas of the Soft Tissues of the Neck and Chest
https://doi.org/10.23934/2223-9022-2022-11-2-280-286
Abstract
The possibilities of computed tomography in the diagnosis of spontaneous hematomas (sh) of the soft tissues of the neck and chest and the features of their treatment are shown. Computed tomography with intravenous bolus contrast enhancement is the main method for diagnosing sh, which allows you to specify its exact localization, distribution, determine the structure and volume of the hematoma, the contrast agent exiting the contours of the vessel, and, taking into account the data obtained and the clinic, determines the tactics of treatment.
Stable sh does not require surgical treatment. In the case of a large volume of chest hematoma, compression syndrome, hemothorax, drainage is indicated. Unstable sh dictate the need for angiography and, if necessary, endovascular embolization.
About the Authors
E. S. Vladimirova
Department of Thoracic Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Elizaveta S. Vladimirova, Doctor of Medical Sciences, Scientific Consultant
B. Sukharevskaya Sq., Moscow, 107045, Russian Federation
E. A. Tarabrin
Department of Thoracic Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Evgeny A. Tarabrin - Doctor of Medical Sciences, Head
B. Sukharevskaya Sq., Moscow, 107045, Russian Federation
I. E. Popova
Department of Thoracic Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Irina E. Popova - Candidate of Medical Sciences, Senior Researcher
B. Sukharevskaya Sq., Moscow, 107045, Russian Federation
K. A. Popugayev
Department of Thoracic Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Konstantin A. Popugaev - Doctor of Medical Sciences, Deputy Director - Head of the Regional Vascular Center
B. Sukharevskaya Sq., Moscow, 107045, Russian Federation
A. I. Kramarenko
Department of Thoracic Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Anatoly I. Kramarenko - Physician for X-ray Endovascular Diagnosis and Treatment of the Department of X-ray Surgical Methods of Diagnosis and Treatment
B. Sukharevskaya Sq., Moscow, 107045, Russian Federation
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For citations:
Vladimirova E.S., Tarabrin E.A., Popova I.E., Popugayev K.A., Kramarenko A.I. Features of Diagnosis and Treatment of Spontaneous Extraorganic Hematomas of the Soft Tissues of the Neck and Chest. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(2):280-268. https://doi.org/10.23934/2223-9022-2022-11-2-280-286
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