胸腹联合伤：病例报告
Combined thoracoabdomial injury: Case report.
作者信息
Muratov A, Tuibayev Z, Arynov Z, Abdykalykov K, Kurbanbayev O, Khashimov B, Matkasymov M, Abdullaeva Z
机构信息
Osh State University, Department of General Surgery, Kurmanjan Datka Street 157, 723500, Osh, Kyrgyzstan.
Osh City Clinical Hospital, Surgery Department, Kurmanjan Datka Street 157, 723500, Osh, Kyrgyzstan.
出版信息
Ann Med Surg (Lond). 2020 Jun 26;56:149-151. doi: 10.1016/j.amsu.2020.06.030. eCollection 2020 Aug.
INTRODUCTION
Combined thoracoabdominal injuries are the most severe case in the medical practice. Bilateral injuries are rare case in patients and just few cases reported in literature. Diaphragm traumas and pneumothorax are defined as severe trauma leading to injuries of thoracic and abdominal organs. We are describing multiple injuries of abdominal tract and chest causing internal bleeding and hemothorax in patient. Surgical operation was carried out on the right side thoracotomy including revision of the pleural cavity and subphrenic space, closure of the wound, removal of the blood clot and drainage of the pleural with abdominal cavities.
PRESENTATION OF CASE
A 24-years old man was admitted in Emergency Department after penetrating knife wounds of abdominal cavity.
DISCUSSION
X-ray of the tracheobronchial tree (bronchography) showed closed chest injuries, post traumatic hemopneumothorax of the right side.
CONCLUSION
Surgical repair was conducted by displacing of the organs in chest cavity with lamellar T-shaped retractor, and hemostatic Billroth, Kocher clamps to stop bleeding in the wound.
引言
胸腹联合伤是医疗实践中最严重的病例。双侧损伤在患者中较为罕见，文献中仅有少数病例报道。膈肌创伤和气胸被定义为导致胸腹部器官损伤的严重创伤。我们描述的是一例患者腹部和胸部多处受伤导致内出血和血胸的病例。手术采用右侧开胸，包括检查胸腔和膈下间隙、关闭伤口、清除血凝块以及胸腔和腹腔引流。
病例介绍
一名24岁男性在腹腔被刀刺伤后被送入急诊科。
讨论
气管支气管树X线检查（支气管造影）显示闭合性胸部损伤，右侧创伤性血气胸。
结论
手术修复通过使用片状T形牵开器移位胸腔内器官，并使用毕罗氏止血钳、科赫尔夹来止血。
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