Iyoda Akira, Satoh Nobumasa, Yamakawa Hisami, Fujino Michio, Hiroshima Kenzo, Fujisawa Takehiko
Department of Thoracic Surgery, National Chiba Higashi Hospital, 673 Nitona-cho, Chuo-ku, Chiba 260-8712, Japan.
Surg Today. 2003;33(10):755-7. doi: 10.1007/s00595-003-2590-7.
A 66-year-old man fell from a tree and was diagnosed to have multiple fractured ribs and hemopneumothorax based upon the chest roentgenogram findings. He underwent chest tube drainage and evacuation using video-assisted thoracic surgery. One week after the operation, he exhibited recurrent hemothorax. He underwent a thoracotomy, and the hemothorax was found to be due to a penetration of the lower descending thoracic aorta by a fractured rib. We performed a direct closure of the penetrated portion of the descending thoracic aorta. The patient has remained well for 1 year following the second operation.
一名66岁男性从树上跌落，根据胸部X线检查结果诊断为多根肋骨骨折和血气胸。他接受了胸腔闭式引流术，并通过电视辅助胸腔镜手术进行了清创。术后一周，他出现了复发性血胸。他接受了开胸手术，发现血胸是由于一根骨折的肋骨穿透了降主动脉下段所致。我们对降主动脉穿透部位进行了直接缝合。二次手术后患者已健康存活1年。
