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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.

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

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