Rozhl Chir. 2021 Summer;100(5):243-245. doi: 10.33699/PIS.2021.100.5.246-248.
Pulmonary hernias are rare conditions, most are the results of an injury or previous thoracic surgery.
We present a case of a 48-year-old woman injured in a car accident. The examination in the trauma centre revealed a chest injury with herniation of the lung parenchyma into the chest wall and fractures of long bones of lower limbs. Initially, an osteosynthesis of the left femur and the right tibia fracture were performed. The patient underwent a subsequent surgery to repair the pulmonary hernia.
A pulmonary hernia is diagnosed either directly during a clinical examination or by imaging. A sovereign diagnostic method is a computed tomography. The method of treatment is a surgical repair with primary suture of the chest wall defect or implantation of a mesh to repair the pulmonary hernia.
肺疝是一种罕见的疾病,多数是外伤或先前的胸部手术的结果。
我们报告了 1 例 48 岁女性因车祸受伤的病例。在创伤中心的检查显示胸部损伤,肺实质疝入胸壁,下肢长骨骨折。最初,对左侧股骨和右侧胫骨骨折进行了骨内固定。患者随后进行了肺疝修补手术。
肺疝可通过临床检查或影像学直接诊断。明确的诊断方法是计算机断层扫描。治疗方法是手术修复,包括胸壁缺损的直接缝合或植入网片修复肺疝。