Cervantes-Sevilla José R, Ramírez-Cervera Marcela, Guzman-Ruvalcaba Mario J
Faculty of Medicine, Universidad de Guadalajara, Guadalajara, MEX.
Faculty of Medicine, Carl von Ossietzky University of Oldenburg, Oldenburg, DEU.
Cureus. 2024 Dec 8;16(12):e75349. doi: 10.7759/cureus.75349. eCollection 2024 Dec.
Traumatic hemothorax is a serious condition requiring immediate intervention. We present a case of a 48-year-old male professional jockey who suffered traumatic hemothorax, bilateral pulmonary contusions, and multiple rib fractures after being stomped by a horse. Management included intercostal drainage placement, costal fixation from the 5th to the 10th rib, and intensive care unit admission. Postoperative complications included, acute kidney injury, rhabdomyolysis, and severe acute respiratory distress syndrome. This case highlights the importance of a multidisciplinary approach in managing complex traumatic injuries and emphasizes potential complications despite optimal care.
创伤性血胸是一种需要立即干预的严重病症。我们报告一例48岁男性职业骑师的病例，该患者被马踩踏后发生创伤性血胸、双侧肺挫伤和多根肋骨骨折。治疗措施包括放置肋间引流管、对第5至第10肋骨进行肋骨固定以及收入重症监护病房。术后并发症包括急性肾损伤、横纹肌溶解症和严重急性呼吸窘迫综合征。本病例凸显了多学科方法在处理复杂创伤性损伤中的重要性，并强调了尽管给予了最佳治疗仍可能出现的并发症。
