Chest Trauma pp 258-269 | Cite as

Other Injury Patterns and Consequences of Injury in Thoracic Trauma

  • Werner Glinz


In a severe compression of the thorax with sudden increase of pressure in the venous system, a characteristic injury pattern develops with, among other possible signs, small hemorrhages in the conjunctiva, the skin, and the mucous membranes of the throat and head and reddish-blue discoloration in the latter region. It is not at all uncommon, as might be assumed on the basis of the rather sparse accounts in the recent literature.


Tuberculosis Retina Catecholamine Pneumothorax Pertussis 


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  1. 598.
    Alexander, E. G.: A case of stasis cyanosis following an epileptic seizure, simulating traumatic asphyxia. Ann. Surg. 49, 762–766 (1909)PubMedCrossRefGoogle Scholar
  2. 599.
    Andosca, J. B., Foley, J. A.: Pleural shock and cerebral embolism. Amer. Rev. Tuberc. 52, 221–230 (1945)Google Scholar
  3. 600.
    Barbieri, G.: Traumatic chylothorax. Minerva medica 66, 3165–3169 (1975)PubMedGoogle Scholar
  4. 601.
    Boegehold, E.: Über Verletzungen des D. thoracicus. Langenbecks Arch. Chir. 29, 443–468 (1883)Google Scholar
  5. 602.
    Bonet, Th.: Sepulchretrum, sive anatomia practica ex cadaveribus morbo denatis, Fol. Lib. IV, Sect. III, Observ. XXIV, 5, p. 360. Genevae: L. Chouët 1679Google Scholar
  6. 603.
    Bonnin, J. G.: Traumatic asphyxia. Lancet 1941 II, 333–335CrossRefGoogle Scholar
  7. 604.
    Braun, H.: Ueber ausgedehnte Blutextravasate am Kopfe, Halse, Nacken und linken Arme, infolge Compression des Unterleibes. Dtsch. Z. Chir. 51, 599–604 (1899)CrossRefGoogle Scholar
  8. 605.
    Burrell, H. L., Crandon, L. R. G.: Traumatic apnea or asphyxia. Boston med. Surg. J. 146, 13–15 (1902)Google Scholar
  9. 606.
    Crosby, I. K., Crouch, J., Reed, W. A.: Chylopericardium and chylothorax. J. thorac. cardiovasc. Surg. 65, 935–939 (1973)PubMedGoogle Scholar
  10. 607.
    De Forest, H. B.: Surgery of the thoracic duct. Ann. Surg. 46, 705–715 (1907)PubMedCrossRefGoogle Scholar
  11. 608.
    Durant, Th. M., Oppenheimer, M. J., Webster, M. R., Long, J.: Arterial air embolism. Amer. Heart J. 38, 481–500 (1949)PubMedCrossRefGoogle Scholar
  12. 609.
    Forster, E., Maguet, A. le, Cinqualbre, J., Piombini, J.-L., Schütz, E.: A propos d’un cas de chylothorax consécutif à un traumatisme fermé vertébro-costal. J. Chir. (Paris) 101, 605–616 (1975)Google Scholar
  13. 610.
    Fred, H. L., Chandler, F. W.: Traumatic asphyxia. Amer. J. Med. 29, 508–517 (1960)PubMedCrossRefGoogle Scholar
  14. 611.
    Goldfarb, D., Bahnson, H. T.: Early and late effects on the heart of small amounts of air in the coronary circulation. J. thorac. cardiovasc. Surg. 46, 368–378 (1963)PubMedGoogle Scholar
  15. 612.
    Goorwitch, J.: Traumatic chylothorax and thoracic duct ligation: Case report and review of literature. J. thorac. Surg. 29, 467–479 (1955)PubMedGoogle Scholar
  16. 613.
    Heuer, J. G.: Traumatic asphyxia; with especial reference to its ocular and visual disturbances. Surg. Gynec. Obstet. 36, 686–696 (1923)Google Scholar
  17. 614.
    Klepser, R. G., Berry, J. F.: The diagnosis and surgical management of chylothorax with the aid of lipophilic dyes. Dis. Chest. 25, 409–426 (1954)PubMedGoogle Scholar
  18. 615.
    Kraus, H.: Brustwandbrüche. In: Derra, E. (Hrsg.): Handbuch der Thoraxchirurgie, Bd. II/I, S. 21–24. Berhn-Göttingen-Heidelberg: Springer 1959Google Scholar
  19. 616.
    Laumonier, P., Lachapelle, A. P., Couraud, L., Hugues, A., Lagarde, C., May, J.: Une application de la lymphographie au diagnostic et au traitement du chylothorax. Presse med. 70, 2630–2632 (1962)Google Scholar
  20. 617.
    Lee, F. C.: The establishment of collateral circulation following ligation of the thoracic duct. Bull. Johns Hopk. Hosp. 33, 21–31 (1922)Google Scholar
  21. 618.
    Lenaghan, R., Silva, Y. J., Walt, A. J.: Hemodynamic alterations associated with expansion rupture of the lung. Arch. Surg. 99, 339–343 (1969)PubMedGoogle Scholar
  22. 619.
    Liebermeister, G.: Anämisches Zungenphänomen, ein Frühsymptom der arteriellen Luftembolie. Klin. Wschr. 8, 21–23 (1929)CrossRefGoogle Scholar
  23. 620.
    Lowman, R. M., Hoogerhyde, J., Waters, L. L., Grant, C.: Traumatic chylothorax. The roentgen aspects of this problem. Amer. J. Roentgenol. 65, 529–546 (1951)Google Scholar
  24. 621.
    Madroszkiewicz, A., Gurak, A., Zychowicz, F.: Przemijajqca utrata wzroku w przypadku zespolu Perthesa. Klin, oczna 44, 163–166 (1974)Google Scholar
  25. 622.
    Maloney, J. V., Spencer, F. C.: The nonoperative treatment of traumatic chylothorax. Surgery 40, 121–127 (1956)PubMedGoogle Scholar
  26. 623.
    Männl, H. F. K., Hofmann, K. Th.: Intercostale Lungenhernien. Chirurg 44, 422–424 (1973)PubMedGoogle Scholar
  27. 624.
    Morían: Ueber einen Fall von Druckstauung. Münch. med. Wschr. 27, 61–62 (1901)Google Scholar
  28. 625.
    Munnell, E. R.: Herniation of the lung. Ann. thorac. Surg. 5, 204–212 (1968)PubMedCrossRefGoogle Scholar
  29. 626.
    Nielsen, J. B., Lykkegard, M.: Lung hernia through the thoracic wall. Acta chir. scand. 137, 483–486 (1971)PubMedGoogle Scholar
  30. 627.
    Ollivier d’Angers: Relation médicale des événements survenues au Champ-de-Mars le 14 juin 1837. Ann. Hyg. 18, 485 (1837)Google Scholar
  31. 628.
    Perthes, G.: Ueber ausgedehnte Blutextravasate am Kopf infolge von Compression des Thorax. Dtsch. Z. Chir. 50, 436–443 (1899)CrossRefGoogle Scholar
  32. 629.
    Perthes, G.: Ueber „Druckstauung“. Dtsch. Z. Chir. 55, 384–392 (1900)CrossRefGoogle Scholar
  33. 630.
    Reichert, F. L., Martin, J. W.: Traumatic asphyxia; experimental and clinical observation with a report of a case with concomitant paraplegia. Ann. Surg. 134, 361–368 (1951)PubMedGoogle Scholar
  34. 631.
    Reilly, K. M., Tsou, E.: Bilateral chylothorax. J. Amer. med. Ass. 233, 536–537 (1975)CrossRefGoogle Scholar
  35. 632.
    Sandiford, J. A., Sickler, D.: Traumatic asphyxia with severe neurological sequelae. J. Trauma 14, 805–810 (1974)PubMedCrossRefGoogle Scholar
  36. 633.
    Schlaepfer, K.: Air embolism following various diagnostic or therapeutic procedures in diseases of the pleura and the lung. Johns Hopk. Hosp. Bull, 33, 321–330 (1922)Google Scholar
  37. 634.
    Søreide, O., Stedjeberg, J. O.: Traumatic intercostal pulmonary hernia. Injury 7, 61–62 (1975)PubMedCrossRefGoogle Scholar
  38. 635.
    Tauber, K.: Die Verletzungen des Ductus thoracicus. Langenbecks Arch. Chir. 284, 188–190 (1956)PubMedCrossRefGoogle Scholar
  39. 636.
    Thomas, A. N.: Air embolism following penetrating lung injuries. J. thorac. cardiovasc. Surg. 66, 533–540 (1973)Google Scholar
  40. 637.
    Thomas, A. N., Stephens, B. G.: Air embolism: A cause of morbidity and death after penetrating chest trauma. J. Trauma 14, 633–638 (1974)PubMedCrossRefGoogle Scholar
  41. 638.
    Travisano, zit. Denk, W., Kunz, H.: Die Chirurgie der Brustwand. In: Kirschner-Nordmann: Die Chirurgie, Bd. V. Berlin-Wien: Urban und Schwarzenberg 1941Google Scholar
  42. 639.
    Van Allen, C. M., Hrdina, L. S., Clark, J.: Air embolism from the pulmonary vein. Arch. Surg. 19, 567–592 (1929)Google Scholar
  43. 640.
    von Bahr, V.: Gas embolism originating in the pulmonary veins. Upsala Läk.-Fören. Förh. 49, 259–301 (1944)Google Scholar
  44. 641.
    Williams, K. R., Burford, T. H.: The management of chylothorax related to trauma. J. Trauma 3, 317–324 (1963)PubMedCrossRefGoogle Scholar
  45. 642.
    Williams, J. S., Minken, S. L., Adams, J. T.: Traumatic asphyxia — Reappraised. Ann. Surg. 167, 384–392 (1968)PubMedCrossRefGoogle Scholar
  46. 643.
    Wittenberger, R., Elias, K.: Traumatisch-bedingte Brustwandhernie mit Lungenpro laps. Zbl. Chir. 100, 1003–1005 (1975)PubMedGoogle Scholar

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© Springer-Verlag Berlin · Heidelberg 1981

Authors and Affiliations

  • Werner Glinz
    • 1
  1. 1.Chirurgische Klinik BUniversitätsspital ZürichZürichSwitzerland

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