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钝性胸部创伤后迟发性血胸:病例报告。

Delayed hemothorax following blunt thoracic trauma: a case report.

机构信息

Clinical Research Center, Fundación Valle del Lili, Kra 98 No. 18 - 49, Cali, 760032, Colombia.

School of Medicine, General Surgery, Universidad del Cauca, Popayán, 190003, Colombia.

出版信息

J Cardiothorac Surg. 2024 Jun 27;19(1):395. doi: 10.1186/s13019-024-02914-5.

Abstract

BACKGROUND

Late hemothorax is a rare complication of blunt chest trauma. The longest reported time interval between the traumatic event and the development of hemothorax is 44 days.

CASE PRESENTATION

An elderly patient with right-sided rib fractures from chest trauma, managed initially with closed thoracostomy, presented with a delayed hemothorax that occurred 60 days after initial management, necessitating conservative and then surgical intervention due to the patient's frail condition and associated complications.

CONCLUSIONS

This case emphasizes the clinical challenge and significance of delayed hemothorax in chest trauma, highlighting the need for vigilance and potential surgical correction in complex presentations, especially in the elderly.

摘要

背景

迟发性血胸是钝性胸部创伤的罕见并发症。有报道称,创伤事件与血胸发生之间的最长时间间隔为 44 天。

病例介绍

一位老年患者因胸部创伤导致右侧肋骨骨折,最初采用闭式胸腔引流治疗,在初始治疗后 60 天出现迟发性血胸,由于患者身体虚弱和相关并发症,需要进行保守和手术干预。

结论

本例强调了胸部创伤中迟发性血胸的临床挑战和意义,提示在复杂表现,特别是老年人中,需要保持警惕并可能需要进行手术纠正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffa0/11210085/4a04d2cc7375/13019_2024_2914_Fig1_HTML.jpg

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