Malcolm B W, Ameli F M, Simmons E H
Can J Surg. 1979 Jan;22(1):84.
Fractures of the clavicle, while common, are associated with few serious complications. The authors report the case of a 29-year-old man with a simple fracture of the middle third of the clavicle that was associated with a 30% pneumothorax. The force and mechanism of the injury, severe pleuritic pain and reduced breath sounds suggested the diagnosis which was confirmed roentgenographically. The possibility of pneumothorax must be considered in any patient with a fracture of the clavicle, especially in the unconscious patient who has sustained multiple injuries.
锁骨骨折虽常见，但很少伴有严重并发症。作者报告了一例29岁男性患者，其锁骨中1/3处单纯骨折并伴有30%的气胸。损伤的力量和机制、严重的胸膜炎性疼痛及呼吸音减弱提示了诊断，X线检查得以证实。对于任何锁骨骨折患者，尤其是遭受多处损伤的昏迷患者，都必须考虑气胸的可能性。
