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创伤性肋骨骨折连枷胸节段伴克雷伯菌骨髓炎的缝合固定

Suture fixation of traumatic rib fracture flail segment with Klebsiella osteomyelitis.

作者信息

Patel Krishna, Rizzo Anthony N, Bach John, DeVoe William

机构信息

Surgery, OhioHealth Riverside Methodist Hospital, Columbus 43214, USA.

出版信息

Trauma Case Rep. 2024 Mar 21;51:100996. doi: 10.1016/j.tcr.2024.100996. eCollection 2024 Jun.

DOI:10.1016/j.tcr.2024.100996
PMID:38633376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11021944/
Abstract

We report the case of a 71-year-old male who initially presented with urosepsis and was found to have a rib fracture of his right 6th rib with a flail segment and an associated abscess. Given the concern for infection, surgical rib fixation with titanium plating was not pursued during the washout of his abscess and instead, he successfully underwent rib fracture stabilization with bilateral suture transfixation. He was continued on a prolonged course of antibiotics for Klebsiella pneumonia osteomyelitis and was discharged uneventfully with optimal pain control and adequate respiratory effort.

摘要

我们报告了一例71岁男性病例，该患者最初表现为尿脓毒症，被发现右侧第6肋骨骨折，伴有连枷胸段及相关脓肿。鉴于对感染的担忧，在其脓肿清创期间未进行钛板肋骨内固定手术，而是成功地通过双侧缝扎固定实现了肋骨骨折稳定。他因克雷伯菌性肺炎骨髓炎继续接受了长时间的抗生素治疗，最终顺利出院，疼痛得到了最佳控制，呼吸功能良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/955b43dffec9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/3b3f323b43e0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/78f002695fed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/5e5b2729e3f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/955b43dffec9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/3b3f323b43e0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/78f002695fed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/5e5b2729e3f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc1/11021944/955b43dffec9/gr4.jpg

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本文引用的文献

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Evaluation of surgical outcomes in elderly patients with rib fractures: A single-centre propensity score matching study.老年肋骨骨折患者手术疗效评估：一项单中心倾向评分匹配研究。
Front Surg. 2023 Apr 18;10:1174365. doi: 10.3389/fsurg.2023.1174365. eCollection 2023.
2
Hardware Infection From Surgical Stabilization of Rib Fractures Is Lower Than Previously Reported.肋骨骨折手术固定引起的硬件感染率低于先前报道。
Cureus. 2023 Mar 3;15(3):e35732. doi: 10.7759/cureus.35732. eCollection 2023 Mar.
3
Rib Plating as an Effective Approach to Managing Traumatic Rib Injuries: A Review of the Literature.
肋骨接骨板固定术作为治疗创伤性肋骨损伤的有效方法：文献综述
Cureus. 2022 Sep 27;14(9):e29664. doi: 10.7759/cureus.29664. eCollection 2022 Sep.
4
Delayed Presentation of First Rib Osteomyelitis Following Trauma.创伤后第一肋骨骨髓炎的迟发表现。
Am Surg. 2023 Jun;89(6):2973-2975. doi: 10.1177/00031348221101580. Epub 2022 May 10.
5
Surgical Infection Society: Chest Wall Injury Society Recommendations for Antibiotic Use during Surgical Stabilization of Traumatic Rib or Sternal Fractures to Reduce Risk of Implant Infection.外科感染学会：胸壁损伤学会关于在创伤性肋骨或胸骨骨折的外科固定手术中使用抗生素以降低植入物感染风险的建议。
Surg Infect (Larchmt). 2022 May;23(4):321-331. doi: 10.1089/sur.2022.025.
6
Skeletal infections: microbial pathogenesis, immunity and clinical management.骨骼感染：微生物发病机制、免疫与临床管理。
Nat Rev Microbiol. 2022 Jul;20(7):385-400. doi: 10.1038/s41579-022-00686-0. Epub 2022 Feb 15.
7
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