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一名无骨质疏松症临床证据的绝经后女性因咳嗽导致肋骨骨折:病例报告

Cough-Induced Rib Fracture in a Postmenopausal Woman Without Clinical Evidence of Osteoporosis: A Case Report.

作者信息

Namiq Omar, Al-Tawil Namir G

机构信息

College of Medicine, Hawler Medical University, Erbil, IRQ.

Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, IRQ.

出版信息

Cureus. 2024 Dec 9;16(12):e75383. doi: 10.7759/cureus.75383. eCollection 2024 Dec.

DOI:10.7759/cureus.75383
PMID:39781116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11710876/
Abstract

Cough-induced rib fractures are rare conditions and are seldom reported in the medical literature. This case involves a 54-year-old postmenopausal woman who experienced a persistent dry cough lasting 16 days, which progressed to acute, localized chest pain in the right hemithorax. Symptoms started after an initial chest infection. She developed a fracture of her right fifth rib due to a cough, a rare but serious complication of hard work by the cough. The patient achieved a favorable outcome through conservative management, which remains the preferred initial approach for cough-induced rib fractures. The patient's clinical presentation, diagnostic findings, and treatment plan are presented herein. The case, therefore, overemphasizes the consideration of rib fractures in patients presenting with protracted or severe coughing with chest pain.

摘要

咳嗽引起的肋骨骨折是罕见病症,医学文献中鲜有报道。该病例涉及一名54岁的绝经后女性,她持续干咳16天,随后发展为右半胸急性局部胸痛。症状始于最初的胸部感染后。她因咳嗽导致右侧第五肋骨骨折,这是咳嗽用力引发的一种罕见但严重的并发症。患者通过保守治疗取得了良好效果,保守治疗仍是咳嗽引起的肋骨骨折首选的初始治疗方法。本文介绍了该患者的临床表现、诊断结果及治疗方案。因此,该病例着重强调了对于伴有长时间或严重咳嗽及胸痛患者需考虑肋骨骨折的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f922/11710876/19bb502b46a8/cureus-0016-00000075383-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f922/11710876/19bb502b46a8/cureus-0016-00000075383-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f922/11710876/19bb502b46a8/cureus-0016-00000075383-i01.jpg

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本文引用的文献

1
Cough-induced rib fractures: A comprehensive analysis of 90 patients in a single center.咳嗽所致肋骨骨折:单中心90例患者的综合分析
Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Jan 29;32(1):69-74. doi: 10.5606/tgkdc.dergisi.2024.25655. eCollection 2024 Jan.
2
Cough-Induced Multiple, Bilateral, Asymmetrical Rib Fractures in a Scoliosis Patient: A Case Report.
Cureus. 2023 Nov 22;15(11):e49251. doi: 10.7759/cureus.49251. eCollection 2023 Nov.
3
Postmenopausal osteoporosis: risk evaluation and treatment options.绝经后骨质疏松症:风险评估和治疗选择。
Minerva Obstet Gynecol. 2021 Dec;73(6):714-729. doi: 10.23736/S2724-606X.21.04896-X.
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Clinical and Radiological Aspects of Cough-induced Rib Fractures: A Case Report.咳嗽所致肋骨骨折的临床与影像学表现:一例报告
Cureus. 2020 Feb 1;12(2):e6840. doi: 10.7759/cureus.6840.
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Cough-induced rib fractures.咳嗽所致肋骨骨折
Asian Cardiovasc Thorac Ann. 2015 Oct;23(8):958-60. doi: 10.1177/0218492315596893. Epub 2015 Jul 22.
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Cough-induced rib fractures.咳嗽引起的肋骨骨折。
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