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題名 | Life-Threatening Hemothorax Following Thoracic Vertebral Fracture=胸脊椎骨骨折導因之致命性血胸 |
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作者 | 呂明憲; 李杰鴻; 葉集孝; 劉永恆; 吳怡成; 劉會平; | 書刊名 | 胸腔醫學 |
卷期 | 19:5 2004.10[民93.10] |
頁次 | 頁358-362 |
分類號 | 415.432 |
關鍵詞 | 外傷; 血胸; 骨折; Trauma; Hemothorax; Fracture; |
語文 | 英文(English) |
中文摘要 | 外傷性血胸在交通事故後是常見的,可是胸脊椎骨骨折合併於外傷性血胸於文獻上只有罕見的報告。我們報告一位21歲女性病患,因交通事故而產生大量血胸及出血性休克,經緊急開胸後,發現除胸椎骨骨折之外並沒有其他胸腔內器官損傷,在這種情況之下,脊椎骨骨折固定術是優先處理之選擇。本文強調於處置胸部鈍傷同時對其併發症應提高警覺。 |
英文摘要 | Traumatic hemothorax is common after traffic accident However, the association of massive traumatic hemothorax and thoracic vertebral fracture has been rarely reported. We present the case of a 21 years old female patient who sustained a motor vehicle accident, massive hemothorax and hemorrhagic shock. Emergent thoracotomy revealed no intra-thoracic lesion other than a fractured-dislocated thoracic vertebra. Spinal stabilization was the treatment of choice in this setting. This report raises the index of suspicion for blunt chest trauma complicating such injury. |
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