McClintick Colleen M
Emergency/Critical Care Clinical Nurse Specialist Program at Widener University, Harrisburg, Pennsylvania 17112, USA.
J Trauma Nurs. 2008 Apr-Jun;15(2):72-6. doi: 10.1097/01.JTN.0000327332.69814.b9.
Cases of open pneumothorax have been documented as early as 326 BC. Until the last 50 years, understanding of the epidemiology and treatment of penetrating chest trauma has arisen from military surgery. A better understanding of cardiopulmonary dynamics, advances in ventilatory support, and improvement in surgical technique have drastically improved treatment and increased the survival rate of patients with penetrating thoracic trauma. Open pneumothorax is rare in blunt chest trauma, but can occur when injury results in a substantial loss of the chest wall. This case study presents an adolescent who sustained a large open pneumothorax as a result of being run over by a car. Early and appropriate surgical intervention coupled with coordinated efforts by all members of the trauma team resulted in a positive outcome for this patient.
早在公元前326年就有开放性气胸病例的记载。直到过去50年，对穿透性胸部创伤的流行病学和治疗的认识都源于军事外科手术。对心肺动力学的更好理解、通气支持的进步以及手术技术的改进，极大地改善了治疗效果并提高了穿透性胸部创伤患者的生存率。开放性气胸在钝性胸部创伤中很少见，但当损伤导致胸壁大量缺损时可能会发生。本病例研究介绍了一名青少年，他因被汽车碾压而导致大面积开放性气胸。早期且恰当的手术干预，再加上创伤团队所有成员的协同努力，使该患者获得了良好的治疗结果。
