Mesaki Kumi, Fukuhara Tetsuji, Hanaoka Toshihito, Kobayashi Naruyuki, Nakagawa Kazuhiko, Kobayashi Kazuyasu, Sanomura Takayuki, Uchinomura Satoshi, Hosokawa Kazue, Kato Tsutomu
Department of Surgery, Sumitomo-Bessi Hospital, Niihama, Japan.
Kyobu Geka. 2014 May;67(5):379-81.
A 33-year-old man was transported to our hospital following a traffic accident. He was found to have hemopneumothorax, multiple rib fractures and lung injury by computed tomography(CT). Despite thoracic drainage and fluid resuscitation, he became hemodynamically unstable. At 2 hours after arrival, CT revealed worsening in hemothorax. Emergency angiography of intercostal arteries showed signs of hemorrhage from intercostal arteries, and embolization of the 3∼6th intercostal arteries was performed. After transcatheter arterial embolization(TAE), his vital signs got stable and he was discharged without significant complication.
一名33岁男性在交通事故后被送往我院。通过计算机断层扫描（CT）发现他患有血气胸、多根肋骨骨折和肺损伤。尽管进行了胸腔引流和液体复苏，但他的血流动力学仍不稳定。入院2小时后，CT显示血胸加重。肋间动脉急诊血管造影显示肋间动脉有出血迹象，并对第3至6肋间动脉进行了栓塞。经导管动脉栓塞术（TAE）后，他的生命体征稳定，出院时无明显并发症。
