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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.
↑ 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.
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