[Lung edema in closed injury of the chest and polytrauma]

Edema of the lungs complicates the course of closed and concurrent trauma of the chest in 24.2% of cases. Depending on the system with the primary trauma, three types of lung edema may occur according to the clinical course and character of pathophysiological disorders: cardiogenic (28.3%)--in primary trauma or pathology of the heart with the cardiac insufficiency syndrome; noncardiogenic (34.3%)--in contusion or pathology of the lungs with development of the hypertension syndrome; edema of a mixed form (37.4%) induced by hypovolemia in blood loss and shock with the development of the "small cardiac output syndrome". It is just their pathogenetic essence which determines the character of intensive therapy. The lung edema mortality rate is 11.6%, maximum mortality rate (9.1%) occurs in edema of a mixed form.