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Это жизнеугрожающее состояние, требующее неотложного лечения [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). При разрыве лёгкого происходит утечка воздуха из лёгкого в плевральную полость, что может привести к коллапсу лёгкого и нарушению дыхательной функции [2](https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie).\n\n\n\n## Причины\n**Наиболее распространённая причина** — формирование отверстия в лёгком или плевральных листках на фоне нарушения целостности рёбер [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). Костные отломки часто «пробивают» органы во время смещения [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). \n\n**Реже** разрыв лёгкого возникает из-за резкого натяжения тканей в области корня лёгкого, например, при ударе в область грудной клетки или падении с высоты [2](https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie)[3](https://www.KrasotaiMedicina.ru/diseases/traumatology/ruptured-lung). \n\n**Дополнительные причины**: осложнение при инвазивном медицинском вмешательстве, производственная травма, сдавление грудной клетки [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo).\n\n## Симптомы\n**Проявления разрыва лёгкого зависят от характера и локализации травматического повреждения** [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). Некоторые симптомы: \n* затруднённое дыхание [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* синевато-фиолетовый оттенок кожи [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* кашель с выделением крови [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* учащённое сердцебиение [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* боль во время вдоха [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* отставание поражённой части грудной клетки в процессе дыхания вплоть до полной её неподвижности [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). \n\n**При повреждении крупного сосуда** возможно выраженное кровотечение [2](https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie).\n\n## Диагностика\n**Врач ставит диагноз** после обнаружения характерных признаков, физикального обследования и получения результатов инструментальных исследований [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). Некоторые методы диагностики: \n* рентгенография [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* МРТ [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* УЗИ (позволяет обнаружить жидкость (кровь), воздух в плевральной полости) [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* КТ (выявляет внутрилёгочную гематому, травматическую инфильтрацию) [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). \n\n**К какому врачу** обратиться: торакальным хирургам, травматологам [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo).\n\n## Лечение\n**Схема лечения** зависит от результатов обследования [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). Некоторые методы: \n* медикаментозная терапия [2](https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie); \n* переливание крови [2](https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie); \n* если разрыв лёгкого со скоплением большого количества крови или воздуха в плевральной полости, врач делает прокол (пункцию) с последующей установкой дренажа [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* оперативное вмешательство, направленное на частичную резекцию органа или наложение швов [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo); \n* дыхательная гимнастика и физиотерапия на этапе реабилитации [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). \n\n**Самолечение недопустимо** — при возникновении такой травмы лечение должно быть начато незамедлительно [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). \n\n**Осложнения**: массивная кровопотеря, тяжёлые нарушения дыхания вплоть до удушья, летальный исход [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo). Благоприятный прогноз при такой патологии достижим при своевременном лечении [1](https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo).","linksData":[{"sourceId":1,"url":"https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo","shownUrl":"https://mrtpetrograd.ru/stati/zabolevaniya/razryv-legkogo","title":"Разрыв легкого что это – симптомы, причины, лечение","shortUrl":"mrtpetrograd.ru","isTranslated":false,"description":"","greenUrl":"mrtpetrograd.ru"},{"sourceId":2,"url":"https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie","shownUrl":"https://dentalklas.com/articles/razryv-legkogo-neotlozhnoe-sostoyanie","title":"Разрыв легкого – причины, симптомы и последствия","shortUrl":"dentalklas.com","isTranslated":false,"description":"","greenUrl":"dentalklas.com"},{"sourceId":3,"url":"https://www.KrasotaiMedicina.ru/diseases/traumatology/ruptured-lung","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/traumatology/ruptured-lung","title":"Разрыв легкого - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":4,"url":"https://www.invitro.ru/library/bolezni/43003/","shownUrl":"https://www.invitro.ru/library/bolezni/43003/","title":"Баротравма легкого - 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