彻底的手术治疗难治的胸腔,并复杂的创伤性肺胸部和肋骨骨折
Teppei Tokumaru1,2, Hideaki Kurata3, Jin Mitsui3
1Emergency and Critical Care Center, Yamaguchi Prefectural Grand Medical Center, Osaki, Hofu City, Yamaguchi, 10077747-8511, Japan. teppei.1090@gmail.com.
创伤性肺胸可以导致危及生命的肺. 考虑针对创伤性肺胸部的抗生素预防,在某些情况下进行管胸切除术,以管理潜在的隐性感染.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 创伤性肺胸病很少出现胸腔.
- 用管胸切除术和抗生素预防治疗创伤性肺胸的治疗仍然存在争议.
- 创伤后的胸腔是严重而具有挑战性的并发症.
研究的目的:
- 报告一个创伤性肺胸炎的病例,并发症由.
- 讨论对抗生素预防和管理策略的影响.
- 为了突出严重的胸部创伤中隐藏的胸部感染的潜力.
主要方法:
- 一个42岁的男性患有多重肋骨骨折和肺胸病例报告.
- 在没有抗生素预防的情况下进行管道胸膜切除术.
- 随后出现血,随后进行了彻底手术和肋骨固定.
主要成果:
- 由于创伤性肺胸,患者在初始管胸切除术后的11天内发病了 empyema.
- 对和肋骨固定进行的手术干预成功.
- 病人康复了,并在伤害后的31天出院.
结论:
- 创伤性肺胸炎可能会因血症而复杂化,这是一种潜在的难以治愈的疾病.
- 带管胸切除术的创伤性肺胸部的抗生素预防在特定的患者群体中值得考虑.
- 胸部创伤的管理策略应考虑到潜在的隐性感染和胸壁不稳定性.
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