Kim Jae Jun, Kim Yong Hwan, Moon Seok Whan, Choi Si Young, Jeong Seong Cheol
Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Ann Thorac Surg. 2015 Feb;99(2):e25-7. doi: 10.1016/j.athoracsur.2014.10.075.
Flail chest is a life-threatening condition that occurs when 3 or more consecutive ribs are segmentally fractured due to severe trauma and become detached from the rest of the thoracic cage. Flail chest is usually associated with other intrathoracic injuries, including pulmonary contusion, which can result in respiratory failure. We present a case of a 44-year-old man who was hit by a truck and a forklift resulting in multiple rib fractures bilaterally, and bilateral hemopneumothorax along with left chest wall depression and severe flail chest. The Nuss procedure was performed for both stabilization of severe flail chest and elevation of the depressed chest wall. The patient was weaned from mechanical ventilation on the first postoperative day and was ultimately discharged without any complications.
连枷胸是一种危及生命的状况，当由于严重创伤导致3根或更多连续肋骨发生节段性骨折并与胸廓其余部分分离时就会出现。连枷胸通常与其他胸内损伤相关，包括肺挫伤，这可能导致呼吸衰竭。我们报告一例44岁男性患者，他被一辆卡车和一辆叉车撞击，导致双侧多发肋骨骨折、双侧血气胸以及左胸壁凹陷和严重连枷胸。为稳定严重连枷胸和抬高凹陷的胸壁进行了努斯手术。患者术后第一天就脱离了机械通气，最终出院且无任何并发症。
