Kim Yeon Soo
Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, 170 Juwha-ro, Ilsansu-gu, Goyang-si 10394, Gyeonsgi-Do, South Korea.
J Surg Case Rep. 2024 Jul 30;2024(7):rjae449. doi: 10.1093/jscr/rjae449. eCollection 2024 Jul.
A 31-year-old male sustained life-threatening chest contusions and recovered after damage control surgery. The patient was in an unwitnessed accident where his motorcycle was struck by a car. Upon admission, blood pressure was 69/58 mmHg, heart rate was 126 bpm, and oxygen saturation was 85%. Chest computed tomography revealed fractures to right ribs 1-9 and left ribs 1-7, lung contusions, multiple lung lacerations, and right hemopneumothorax. Upon presentation to the intensive care unit, hemostasis was achieved by suturing a deeply lacerated lung and applying gauze packing. The patient was placed on veno-veno type extracorporeal membrane oxygenation using both femoral veins after surgery until the 5th hospital day. The gauze was removed during the second operation on the 6th day. The third operation on the 13th hospital day was an open reduction of ribs 3-7 on the right. The patient was discharged on the 47th day without complications.
一名31岁男性遭受危及生命的胸部挫伤，经损伤控制手术后康复。患者遭遇一起无人目睹的事故，其摩托车被一辆汽车撞上。入院时，血压为69/58 mmHg，心率为126次/分钟，血氧饱和度为85%。胸部计算机断层扫描显示右侧第1至9肋骨及左侧第1至7肋骨骨折、肺挫伤、多处肺裂伤和右侧血气胸。在重症监护病房就诊时，通过缝合深度裂伤的肺和应用纱布填塞实现了止血。术后直至住院第5天，患者使用双侧股静脉进行静脉-静脉型体外膜肺氧合。在第6天的第二次手术中取出了纱布。住院第13天的第三次手术是对右侧第3至7肋骨进行切开复位。患者于第47天出院，无并发症。
