Amir M I, Klaase J M, Geelkerken R H, Mulder H J, van Walsum A D
Medisch Spectrum Twente, afd. Chirurgie, Postbus 50.000, 7500 KA Enschede.
Ned Tijdschr Geneeskd. 2001 Nov 10;145(45):2182-5.
Immediately after a moped accident a 16-year old patient was haemodynamically unstable. Following adequate drainage of a haematopneumothorax in the hospital the patient collapsed into a shock. Thoractomy revealed a tear of the right A. pulmonalis. The hilus was clamped and a lobectomy was performed. After this the patient was haemodynamically stable; due to bone and nerve damage he was transferred to a rehabilitation centre. Laceration of the A. pulmonalis as a consequence of blunt thoracic trauma is rare and mostly fatal. In the case of a patient with a massive haematothorax rapid transport to the nearest hospital is preferable to thorax drainage at the site of the accident.
一名16岁患者在轻便摩托车事故后立即出现血流动力学不稳定。在医院对血气胸进行充分引流后,患者陷入休克。开胸手术发现右肺动脉撕裂。肺门被夹住并进行了肺叶切除术。此后患者血流动力学稳定;由于骨骼和神经损伤,他被转至康复中心。钝性胸部创伤导致的肺动脉撕裂很少见,且大多致命。对于有大量血胸的患者,迅速转运至最近的医院比在事故现场进行胸腔引流更为可取。