Nonaka Makoto, Hataya K, Hatakeyama T, Ooga J, Aita K, Maezawa K, Soda H, Koike Y, Sakurai O, Ishida Y, Morohoshi K, Yamano K
Department of Surgery, Yokohama Asahi Central and General Hospital, Yokohama, Japan.
Kyobu Geka. 2006 Oct;59(11):966-71; discussion 972-3.
Flail chest occurs by blunt chest trauma and is associated with pulmonary contusion, atelectasis, pneumothorax, hemothorax, and respiratory failure. Because of its severity, it may need internal pneumatic stabilization or surgical fixation. Some patients do not need the internal stabilization and are observed conservatively. Some of these patients, however, increase the flail after palliating the pain and getting up. These patients show inefficient ventilation and surgical fixation is needed. The operation should be performed after the improvement of pulmonary contusion. In this paper, we presented 2 patients who showed such course and clarified the surgical methodology.
连枷胸由钝性胸部创伤引起，与肺挫伤、肺不张、气胸、血胸及呼吸衰竭相关。因其严重性，可能需要进行内部充气固定或手术固定。一些患者不需要内部固定，可进行保守观察。然而，其中一些患者在缓解疼痛并起床后连枷胸加重。这些患者通气效率低下，需要进行手术固定。手术应在肺挫伤改善后进行。在本文中，我们介绍了2例呈现此种病程的患者，并阐明了手术方法。
