Lv Guang-Chao, Li Zhi-Hong, Duan Zong-Sheng, Niu Chun-Bo, Li Ming-He, Wang Kai-Zhong, Jiang Jin-Dong
Department of Thoracic Surgery, First Hospital of Jilin University, No. 71, Xinmin Street, Changchun, Jilin, People's Republic of China.
Department of Anesthesiology, First Hospital of Jilin University, No. 71, Xinmin Street, Changchun, Jilin, People's Republic of China.
BMC Surg. 2020 May 13;20(1):103. doi: 10.1186/s12893-020-00766-z.
Development of multiple rib fractures leading to bilateral flail chest in Cronkhite-Canada Syndrome (CCS) has not been reported.
A 59-year-old man presented with complaints of fatigue, chest pain, respiratory distress and orthopnea requiring ventilatory support to maintain oxygenation. CCS with bilateral anterior and posterior flail chest due to multiple rib fractures (2nd-10th on the right side and 2nd-11th on the left side). He underwent open reduction and anterior and posterior internal fixation using a titanium alloy fixator and a nickel-titanium memory alloy embracing fixator for chest wall reconstruction. He recovered gradually from the ventilator and showed improvement in his symptoms. He gained about 20 kg of weight in the follow up period (6 months after discharge from the hospital).
CCS is a rare, complex disease that increases the risk of developing multiple rib fractures, which can be successfully treated with open reduction and internal fixation.
尚未有克朗凯特-加拿大综合征（CCS）导致多根肋骨骨折并双侧连枷胸的相关报道。
一名59岁男性，主诉疲劳、胸痛、呼吸窘迫和端坐呼吸，需要通气支持以维持氧合。该患者患有CCS，因多根肋骨骨折（右侧第2 - 10肋，左侧第2 - 11肋）导致双侧前后连枷胸。他接受了切开复位，并使用钛合金固定器和镍钛记忆合金环抱式固定器进行前后内固定，以重建胸壁。他逐渐脱离呼吸机，症状有所改善。在随访期间（出院后6个月）体重增加了约20千克。
CCS是一种罕见的复杂疾病，会增加多根肋骨骨折的风险，切开复位内固定可成功治疗此类骨折。
