Abstract
Respiratory complications in lethal head traumas. Respiratory disturbances is a one group of severe head injuries complications. The research of lethal head injuries in our presentation had included such respiratory disturbances as aspiration, lung edema, pneumonia and later septic coplications. Aspirations were determined in lethal head injuries at the place of an accident or when admitted to the hospital, playing great role in the thanatogenesis. Among 35 (27,8%) aspiration cases - 31 were haemoaspirations, 3 were food aspirations and 1 were foreign body aspiration. In the first 3 days the lung edema prevailed, pneumonia was not observed in the first 4 days. In the 1st day of hospitalisation the signs of pneumonia could not be found nor macroscopically nor histologically. Abcedative pneumonia cases appeared in the first day, with a peak in third day - 50% cases, but later in third week in 61,9%. Most often abcedative pneumonia was observed in the 41-60 years old group of head injuries pacients. Septico-toxic shock formed in the 2nd or 3rd week. Lund infaction was determined only in the 2 cases.
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