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<blockquote data-quote="tRidiot" data-source="post: 3218492" data-attributes="member: 9374"><p>Depends.... lots of variables there.</p><p></p><p>Wound channel disruption can cause immense bleeding in a situation like that. Removal of a lobe might be necessary if there was enough damage to the tissue surrounding the actual bullet's path. If a more major pulmonary artery or vein was damaged, removal of a lobe might be necessary just to stop the bleeding.</p><p></p><p>A simple through and through hole in a lung, if it misses major air passages (bronchus or bronchiole) and doesn't have a ton of crush injury from cavitaiton, etc., could simple be patched externally and allowed to seal up on its own. This patient would likely have a chest tube allowing drainage of blood and fluids as well as pulling a slight vacuum to keep the lung inflated (this would be present in any scenario the chest wall is punctured, likely) until it heals/seals on its own.</p><p></p><p>So... hope that helps. <img src="/images/smilies/wink.png" class="smilie" loading="lazy" alt=";)" title="Wink ;)" data-shortname=";)" /></p><p></p><p>My gut is, with a 7.62 high velocity round, you're going to lose a lobe or two. Possibly some diaphragmatic and liver damage, too. Also damage to the phrenic nerve, which allows rise and fall of the diaphragm, possibly resulting in permanent diaprhagmatic elevation and paralysis - not an uncommon thing, lots of patients end up with this after open heart surgery, it just causes a little difficulty in getting maximal lung expansion, but isn't a major issue in and of itself.</p></blockquote><p></p>
[QUOTE="tRidiot, post: 3218492, member: 9374"] Depends.... lots of variables there. Wound channel disruption can cause immense bleeding in a situation like that. Removal of a lobe might be necessary if there was enough damage to the tissue surrounding the actual bullet's path. If a more major pulmonary artery or vein was damaged, removal of a lobe might be necessary just to stop the bleeding. A simple through and through hole in a lung, if it misses major air passages (bronchus or bronchiole) and doesn't have a ton of crush injury from cavitaiton, etc., could simple be patched externally and allowed to seal up on its own. This patient would likely have a chest tube allowing drainage of blood and fluids as well as pulling a slight vacuum to keep the lung inflated (this would be present in any scenario the chest wall is punctured, likely) until it heals/seals on its own. So... hope that helps. ;) My gut is, with a 7.62 high velocity round, you're going to lose a lobe or two. Possibly some diaphragmatic and liver damage, too. Also damage to the phrenic nerve, which allows rise and fall of the diaphragm, possibly resulting in permanent diaprhagmatic elevation and paralysis - not an uncommon thing, lots of patients end up with this after open heart surgery, it just causes a little difficulty in getting maximal lung expansion, but isn't a major issue in and of itself. [/QUOTE]
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