Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter
XXVIII: Wounds and Injuries of the Chest
Trapped Lung/Empyema
United States Department of Defense
These chronic complications of thoracic trauma have the potential to become important
sources of morbidity in future wars, unless the lessons learned in the past are
remembered. Trapped lung results from incomplete early evacuation of blood from the
pleural space with subsequent replacement of the fibrin clot by fibrous tissue, which, as
it contracts, squeezes the lung into a nonfunctioning organ. Vital capacity is reduced and
arterial hypoxemia may be apparent. Empyema, a frequent cause of death in World War I
thoracic casualties, is another manifestation of inadequate evacuation of a hemothorax.
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Operational Medicine 2001
Health Care in Military Settings
Bureau of Medicine and Surgery
Department of the Navy
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Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
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