Lee Sung Kwang, Kim Do Hyung, Lee Chee Hoon
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Yangsan, South Korea.
J Card Surg. 2020 Aug;35(8):2064-2066. doi: 10.1111/jocs.14773. Epub 2020 Jul 11.
A flail chest can occur when cardiopulmonary resuscitation causes extensive rib fractures. Despite successful cardiopulmonary resuscitation, if the flail chest is not treated, the patient may not survive regardless of the correction of the primary condition that caused the cardiac arrest. Therefore, if flail chest persists despite the appropriate conservative management to correct the flail chest, active surgical management is essential. We present a successful surgical treatment with a pectus bar for a patient with flail chest, caused by extensive segmental rib fractures sustained during cardiopulmonary resuscitation for a massive pulmonary thromboembolism.
当心肺复苏导致广泛肋骨骨折时，可发生连枷胸。尽管心肺复苏成功，但如果连枷胸未得到治疗，无论导致心脏骤停的原发疾病是否得到纠正，患者都可能无法存活。因此，如果在采取适当的保守治疗以纠正连枷胸后，连枷胸仍然持续存在，积极的手术治疗至关重要。我们报告了一例成功使用鸡胸矫治棒对一名连枷胸患者进行手术治疗的病例，该连枷胸是在对大面积肺血栓栓塞进行心肺复苏期间因广泛节段性肋骨骨折所致。
