Wakaki N, Yamaguchi K, Inoue S, Matsumoto Y, Kin A, Huruta Y, Hamaguchi T, Tei A
Kyobu Geka. 1989 Jul;42(7):577-81.
A 62-year-old man underwent operation for tension pneumopericardium and left hemothorax caused by multiple rib fractures. He sustained other multiple injuries, such as acute subdural hematoma, compound fractures of the left leg. At left thoracotomy, massive hemorrhage from the left apical lung disrupted by the first and second fractured ribs was encountered and pericardium was seen to be bulging and tensely inflated. Incision of the pericardial sac resulted in expulsion of air with a subsequent fall in central venous pressure and heart rate. And after repair of the tear of the laceration of the left lung, the chest was closed with underwater seal drainages of the left pleural cavity. He was successfully weaned off the ventilator after 12 days. After extubation, repeated bronchoscopy was done, but the tracheobronchial injury was not able to be found out.
一名62岁男性因多根肋骨骨折导致张力性心包积气和左侧血胸而接受手术。他还遭受了其他多处损伤，如急性硬膜下血肿、左腿复合骨折。在左胸开胸手术中，发现由第一和第二根肋骨骨折导致的左肺尖部大量出血，同时可见心包膨出且张力增高。切开心包囊后有气体排出，随后中心静脉压和心率下降。在修复左肺撕裂伤后，左侧胸腔用胸腔闭式引流关闭胸腔。12天后他成功脱机。拔管后，进行了多次支气管镜检查，但未发现气管支气管损伤。
