Fukada Takehisa, Morita Katsuhiko, Ueki Takayuki, Hanaoka Nobuharu
Department of General Thoracic Surgery, Osaka Medical College Hospital, Takatsuki, Japan.
Kyobu Geka. 2017 Jun;70(6):418-421.
Metachronous bilateral hemothorax due to reverse Chance type thoracic fracture is very rare. In this case, we experienced a case of metachronous bilateral hemothorax, triggered by a thoracic fracture in which the anterior component of the spine collapsed, so-called reverse Chance type thoracic fracture. An 83-year-old woman with spinal kyphosis traumatically injured thoracic spine burst fracture, and bone fragments appeared on both sides of the destroyed vertebra. After injury, the left hemothorax also appeared, followed by the right hemothorax causing hemorrhagic shock. In thoracic destructive anterior fracture, we should consider the possibility of metachronous bilateral hemothorax.
由反向Chance型胸椎骨折导致的异时性双侧血胸非常罕见。在此病例中，我们遇到了一例异时性双侧血胸，由胸椎骨折引发，该骨折中脊柱的前部结构塌陷，即所谓的反向Chance型胸椎骨折。一名83岁患有脊柱后凸的女性因外伤导致胸椎爆裂性骨折，在受损椎体两侧出现骨碎片。受伤后，左侧血胸出现，随后右侧血胸导致失血性休克。对于胸椎破坏性前部骨折，应考虑异时性双侧血胸的可能性。
