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体外膜肺氧合支持下的多发伤患者股骨骨折扩髓髓内钉固定术:一例报告

Reamed Intramedullary Nailing of a Femur Fracture in a Polytraumatized Patient on Extracorporeal Membrane Oxygenation: A Case Report.

作者信息

Bosch Liam, Ruoss Stephen, Bishop Julius

机构信息

Stanford University Medical Center, Stanford, California.

出版信息

JBJS Case Connect. 2020 Jan-Mar;10(1):e0349. doi: 10.2106/JBJS.CC.19.00349.

DOI:10.2106/JBJS.CC.19.00349
PMID:32044786
Abstract

CASE

We present the case of a young adult with blunt lung trauma and acute respiratory distress syndrome requiring extracorporeal membrane oxygenation (ECMO) after a motor vehicle crash with a concomitant diaphyseal femur fracture who underwent reamed intramedullary nailing (IMN) while on ECMO support.

CONCLUSION

This case is important because it demonstrates that reamed IMN of the femur has been performed safely in a critically ill patient on ECMO.

摘要

病例

我们报告一例年轻成人患者,其在机动车碰撞后发生钝性肺损伤和急性呼吸窘迫综合征,需要体外膜肺氧合(ECMO)支持,同时伴有股骨干骨折,在接受ECMO支持期间进行了扩髓髓内钉固定术(IMN)。

结论

该病例很重要,因为它表明在接受ECMO治疗的重症患者中安全地实施了股骨扩髓IMN。

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