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一名健康青少年运动员跌倒后发生气胸

Pneumothorax After a Fall in a Healthy Adolescent Athlete.

作者信息

Latty Tristin, Soto Rebekah J, Arango Carlos A

机构信息

Pediatrics, University of Florida, Gainesville, USA.

Pediatrics, University of Florida, Jacksonville, USA.

出版信息

Cureus. 2022 Jun 24;14(6):e26293. doi: 10.7759/cureus.26293. eCollection 2022 Jun.

Abstract

A pneumothorax is a pathological collection of air in the pleural space within the thoracic cavity. Pneumothoraxes are classified by the underlying etiology as spontaneous or traumatic, with spontaneous pneumothoraxes being further categorized into primary and secondary causes. Management historically involved admission with possible administration of oxygen or chest tube placements based on severity. We herein describe a pediatric -case of a likely blunt-force traumatic pneumothorax after a fall, successfully managed conservatively in the outpatient setting. The case highlights an acceleration-deceleration blunt trauma caused during a tackle at a football game and the importance of the clinical presentation, physical exam, and confirmation with a chest X-ray.

摘要

气胸是胸腔内胸膜腔的病理性积气。气胸根据潜在病因分为自发性或创伤性,自发性气胸又进一步分为原发性和继发性病因。过去,治疗方法包括根据严重程度住院,并可能给予吸氧或放置胸管。我们在此描述一例儿童病例,该患儿在跌倒后可能发生钝性创伤性气胸,在门诊环境中成功进行了保守治疗。该病例突出了在足球比赛中一次擒抱导致的加速-减速钝性创伤,以及临床表现、体格检查和胸部X光检查确诊的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9fb/9308982/f12d50fb12fd/cureus-0014-00000026293-i01.jpg

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