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Classification according to ICD-10
J94.2 Hemothorax, hemopneumothorax
S27.1 Hemothorax, traumatic
ICD-10 online (WHO version 2019)

Under hemothorax , also hemothorax called, refers to an accumulation of blood in the pleural space . It is an exudative form of pleural effusion .

A hemothorax occurs after a direct injury (e.g. from pieces of rib) to the heart or lungs. Blood accumulates in the chest, impairing breathing and causing shock.

Other causes can include postoperative bleeding, e. B. after lung biopsy, pleural puncture or CVC system.

The patient experiences severe pain and suffers from shortness of breath ( dyspnoea ). He also developed increasing cyanosis .

The therapy consists primarily of draining the blood using a chest drain . In the case of massive bleeding, the ruptured vessel must be surgically located via a thoracotomy and ligated.

Individual evidence

  1. Berthold Jany, Tobias Welte: Pleural effusion in adults - causes, diagnosis and therapy. In: Deutsches Ärzteblatt. Volume 116, No. 21, 2019, pp. 377-385, here: p. 379.