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由于延迟的大型血胸造成的救命紧急手术在摔伤后7天:一个病例报告
Hideomi Ichinokawa1,2, Takashi Sowa3, Mikiko Suzuki3
1Department of General Thoracic Surgery, Juntendo University Shizuoka Hospital, 1129, Nagaoka, Izunokuni, Shizuoka-Prefecture, 410-2295, Japan. hideichi@juntendo.ac.jp.
胸部创伤后的延迟大规模血胸是罕见但严重的. 这一案例凸显了当血管栓塞无法控制出血时,需要保持警的监测和及时的手术干预.
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
- 血管外科 血管外科
背景情况:
- 延迟的血胸部复杂化7.4-36%的形胸部创伤.
- 突然,大量增加的出血需要手术是罕见的.
- 这一病例呈现出一种罕见的延迟大规模血胸病例,该病例对栓塞无反应.
研究的目的:
- 报告一个延迟大规模血胸病例.
- 为了说明胸部创伤的罕见并发症的管理.
- 强调当栓塞失败时手术的作用.
主要方法:
- 一名45岁的男性因从四层楼落而受到持续创伤.
- 最初的急诊手术后,在术后第7天出现大量出血.
- 肋间动脉的血管栓塞失败,需要紧急外科绑定和血液瘤切除.
主要成果:
- 尽管有血管栓塞,但患者经历了重复的大量出血 (500毫升/小时).
- 涉及第九和第十条肋间动脉绑定的紧急手术成功.
- 病人康复了,并在第二次手术后50天被转移到康复中心.
结论:
- 持续监测胸部排水和血液动力学是创伤后至关重要的.
- 应考虑对延迟大血胸进行紧急手术,特别是在受伤后7天内.
- 血管栓塞可能并不总是足以管理延迟的血胸.
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