Ibrahim Mohammed, Linsmeier Bernd
Department of Cardiothoracic Surgery, Bayreuth Hospital, Bayreuth, Germany.
J Surg Case Rep. 2020 Sep 5;2020(9):rjaa303. doi: 10.1093/jscr/rjaa303. eCollection 2020 Sep.
We present the case of a 61-year-old male patient with a known medical history of morbid obesity, chronic obstructive pulmonary disease and atrial fibrillation, who was receiving anticoagulation therapy with enoxaparin natrium prescribed by his family physician. The patient presented himself to the emergency department of our hospital with a complaint of severe pain in the right hemithorax, dyspnea, and diffuse cutaneous and subcutaneous haematoma in the inferior part of the right hemithoracic region. The patient underwent right-side video-assisted thoracic surgery on the second day to evacuate the haematothorax. Thoracic wall repair was achieved using a sandwich technique with a sublay reinforced with pericostal sutures and onlay insertion of bovine pericardium mesh.
我们报告一例61岁男性患者，其有肥胖症、慢性阻塞性肺疾病和心房颤动的病史，正在接受家庭医生开具的依诺肝素钠抗凝治疗。该患者因右半胸严重疼痛、呼吸困难以及右半胸下部弥漫性皮肤和皮下血肿前来我院急诊科就诊。患者在第二天接受了右侧电视辅助胸腔手术以清除血胸。采用三明治技术进行胸壁修复，即通过肋周缝合进行衬层加固，并覆盖植入牛心包网。
