创伤性胸:一个病例报告,治疗选择和文献更新
Barry de Goede1, Louis de Jong1, Charles C van Rossem1
1Department of Surgery, Maasstad Hospital, Rotterdam, the Netherlands.
AME case reports
|October 9, 2024
概括
创伤性胸,一种罕见的疾病,涉及淋巴液在腔空间,成功地通过手术干预和营养疗法管理. 这一案例突出了创伤后胸管泄漏的有效治疗策略.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部医学 胸部医学
- 淋巴体生理学 淋巴体生理学
背景情况:
- 胸是一种不常见的疾病,其特点是淋巴液在腔空间积聚,通常来自胸腔管道.
- 创伤性伤害,例如在自行车碰撞中遭受的伤害,可以导致胸腔通道的破坏和随后的胸.
研究的目的:
- 为了呈现一个自行车碰撞后创伤性胸病例.
- 详细介绍这种罕见疾病的诊断和治疗干预措施.
主要方法:
- 计算机断层扫描 (CT) 和CT血管扫描用于诊断.
- 穿皮的背部脚螺杆脊髓解剖用于脊柱骨折的稳定.
- 胸管排水,中链甘油三 (MCT) 饮食和全亲肠营养 (TPN).
- 视频辅助胸部外科手术 (VATS) 用于胸管切割和滑石膏.
主要成果:
- 自行车碰撞后创伤性胸的成功管理.
- 最初观察到显著的液排水 (2-3 L/24h).
- 在VATS的干预之后,停止了流.
结论:
- 本案例报告说明了创伤性胸的诊断途径和综合治疗.
- 涉及手术修复和营养支持的多学科方法对于有利的结果至关重要.
相关概念视频
Pneumothorax-II
123
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:
123
Flail Chest-II
160
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:
160
Pneumothorax-I
173
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.
173
Endoscopic Studies II: Thoracocentesis
208
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
208
Trachea
1.7K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.7K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
2
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
2


