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吸烟者咳嗽致肋骨骨折 1 例报告。

Cough-induced rib fracture in a smoker: a case report.

机构信息

Gilbert and Rose-Marie Chagoury School of Medicine, Blat, Lebanon.

Mazloum Hospital, Tripoli, Lebanon.

出版信息

J Med Case Rep. 2020 Sep 5;14(1):147. doi: 10.1186/s13256-020-02497-4.

DOI:10.1186/s13256-020-02497-4
PMID:32887671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7487568/
Abstract

BACKGROUND

Coughing is considered an important mechanism that helps the body get rid of foreign substances or prevent their entry into the tracheobronchial tree. Infrequently, after the onset of coughing, patients presenting with persistent chest pain are found to have rib fractures. Among the cases reported for cough-induced rib fractures, the maximum number of fractured ribs was found to be four.

CASE PRESENTATION

In this report, we present a case of a healthy 50-year-old Lebanese smoker who developed a total of six fractures in five ribs, asymmetrically, after coughing for 2.5 months.

CONCLUSION

This case report is, to our knowledge, the first to describe six cough-induced rib fractures in a smoker without an underlying predisposition.

摘要

背景

咳嗽被认为是一种重要的机制,可以帮助身体排出异物或防止异物进入气管支气管树。但不常见的是,在咳嗽发作后,出现持续性胸痛的患者被发现有肋骨骨折。在报告的因咳嗽导致的肋骨骨折病例中,发现最多的骨折肋骨数量为四根。

病例介绍

在本报告中,我们报告了一例健康的 50 岁黎巴嫩吸烟者的病例,该患者在咳嗽 2.5 个月后总共在五根肋骨上出现了总计六处骨折,且骨折不对称。

结论

据我们所知,本病例报告是首例描述吸烟者在无潜在易患因素的情况下发生六处咳嗽导致的肋骨骨折的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/240b/7487568/b0770fa3a24a/13256_2020_2497_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/240b/7487568/5b35d581a94a/13256_2020_2497_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/240b/7487568/b0770fa3a24a/13256_2020_2497_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/240b/7487568/5b35d581a94a/13256_2020_2497_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/240b/7487568/b0770fa3a24a/13256_2020_2497_Fig2_HTML.jpg

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本文引用的文献

1
[Symmetrical rib fractures associated with chronic cough. Report of one case].
Rev Med Chil. 2018 Mar;146(3):391-393. doi: 10.4067/s0034-98872018000300391.
2
Cough-induced rib fractures.咳嗽所致肋骨骨折
Asian Cardiovasc Thorac Ann. 2015 Oct;23(8):958-60. doi: 10.1177/0218492315596893. Epub 2015 Jul 22.
3
Cough-induced rib fracture in a young healthy man.一名年轻健康男性因咳嗽导致肋骨骨折。
J Formos Med Assoc. 2012 Mar;111(3):179-80. doi: 10.1016/j.jfma.2011.07.020. Epub 2012 Feb 26.
纳米材料在耐甲氧西林金黄色葡萄球菌(MRSA)预防、检测及治疗中的应用
Pharmaceutics. 2022 Apr 6;14(4):805. doi: 10.3390/pharmaceutics14040805.