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咳嗽所致肋骨骨折的临床与影像学表现:一例报告

Clinical and Radiological Aspects of Cough-induced Rib Fractures: A Case Report.

作者信息

Bezerra Lucas S, Barbosa da Silva Gabrielle S, Santos-Veloso Marcelo Antônio O, Bosford Mairton Amora Pinheiro, Marinho Ribeiro Carvalho Ana Rita

机构信息

Medicine, Maurício de Nassau University, Recife, BRA.

Internal Medicine, Hospital dos Servidores do Estado de Pernambuco, Recife, BRA.

出版信息

Cureus. 2020 Feb 1;12(2):e6840. doi: 10.7759/cureus.6840.

Abstract

Cough-induced rib fracture is a very rare condition, with a few cases described in the medical literature. This case report describes the case of a 77-year-old male patient with a history of chronic obstructive pulmonary disease (COPD) who presented with left eighth and ninth rib fractures after severe cough secondary to upper respiratory tract infection. The patient had a good clinical outcome, followed by conservative management. Conservative treatment is the first-choice approach in cases of daily activities limiting symptoms or complications. Cough-induced rib fracture should be remembered as a possible diagnosis, as diagnostic delays increase the risk of complications.

摘要

咳嗽诱发的肋骨骨折是一种非常罕见的病症,医学文献中仅有少数病例记载。本病例报告描述了一名77岁男性患者,有慢性阻塞性肺疾病(COPD)病史,因上呼吸道感染引发剧烈咳嗽后出现左侧第八和第九肋骨骨折。该患者临床预后良好,采取了保守治疗。对于症状或并发症限制日常活动的病例,保守治疗是首选方法。应记住咳嗽诱发的肋骨骨折是一种可能的诊断,因为诊断延迟会增加并发症的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e5/7051105/72aee9b5755f/cureus-0012-00000006840-i01.jpg

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