トラウマ性肺動脈症は,十代の少女の高いところから落ちて自殺を試みた後に発生する
Souha Qarouach1,2, Hadjar Nassiri1,2,3, Hidaya Zitan1,2
1Pediatric Surgical Emergency Department, Rabat Children's Hospital, Avenue Ibn Rochd, Rabat 10000, Rabat-Salé-Kenitra, Morocco.
Journal of surgical case reports
|September 4, 2025
まとめ
胸部外傷の合併症である肺動脈症は 高いエネルギーで落ちた小児の患者に起こりました 迅速な診断と皮膚経由の減圧により 良好な結果が得られ トラウマの評価におけるその重要性を強調した.
科学分野:
- 医療事例報告
- 小児 トラウマ
- 心臓外科
背景:
- 肺は 胸部に重傷が起きたときの 珍しい症状です
- 小児の患者は特に高エネルギー衝撃による 珍しい合併症に敏感です
- トラウマの早期発見は 早期の介入に不可欠です
研究 の 目的:
- 重度の胸部外傷を患った小児患者の肺心症の症例を報告する.
- この珍しい病気の診断の課題と 管理戦略を強調する
- 重度の転倒後の小児患者のトラウマ評価において肺心臓を考慮する重要性を強調する.
主な方法:
- 高さから落ちた14歳の少女の事例.
- 低血圧と骨盤痛の評価を含む臨床評価
- 診断画像 (例えば,胸部X線,CTスキャン) で,肺心,肺胸,骨折を特定する.
- 介入: 肺脈の皮膚圧縮解消
主要な成果:
- 脊椎骨折や骨盤骨折を含む血動力学的な不安定性 (低血圧) と関連した怪我を患った.
- 画像検査で 肺心と小型の肺胸部が確認されました
- 皮膚による減圧は前向きな臨床結果をもたらした.
結論:
- このケースは,重度の胸部トラウマの小児患者の場合,特に高エネルギーで落ちた場合,肺心症を考慮すべきことを強調しています.
- 皮膚経由の減圧などの迅速な認識と適切な治療は,好ましい結果をもたらすことができます.
- 小児のトラウマにおける肺心症の希少性は,効果的な患者ケアのために高い疑念の指数を必要とします.
関連する概念動画
01:26Pneumothorax-I
337
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
337
01:27Pneumothorax-II
352
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
352
01:26Flail Chest-II
234
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
234
01:29Pulmonary Embolism I: Introduction
45
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
45
01:25Pericarditis IV: Nursing Management
49
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
49
01:30Pneumonia I: Introduction
326
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
326