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胸膜外血肿:一种罕见的胸部创伤后遗症。

Extrapleural Hematoma: A Rare Sequalae of Thoracic Trauma.

作者信息

Shankar Takshak, Ameena Ms Salva, Nagasubramanyam Vempalli, Meena Rinku, Sasidharan Parvathy

机构信息

Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, IND.

Emergency Medicine, All India Institute of Medical Sciences, New Delhi, IND.

出版信息

Cureus. 2024 Sep 30;16(9):e70506. doi: 10.7759/cureus.70506. eCollection 2024 Sep.

Abstract

Extrapleural hematoma is a rare consequence of thoracic trauma, which is the result of bleeding between the parietal pleura and the endothoracic fascia and is usually diagnosed within the initial 24-48 hours of the injury. Delayed presentations are rarely seen. An elderly male, who was not on any antiplatelet or anticoagulant medications, presented to the emergency department six days after sustaining a trivial blunt chest trauma with a large right extrapleural hematoma. He was successfully treated with video-assisted thoracoscopic surgery. Geriatric patients must be followed up with serial chest radiographs to monitor the development of these rare complications.

摘要

胸膜外血肿是胸部创伤的罕见后果,它是壁层胸膜和胸内筋膜之间出血的结果,通常在受伤后的最初24至48小时内被诊断出来。延迟出现的情况很少见。一名未服用任何抗血小板或抗凝药物的老年男性,在遭受轻微钝性胸部创伤六天后因右侧巨大胸膜外血肿就诊于急诊科。他通过电视辅助胸腔镜手术得到了成功治疗。老年患者必须通过系列胸部X光片进行随访,以监测这些罕见并发症的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7768/11524070/d088feed0f99/cureus-0016-00000070506-i01.jpg

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