外傷性巨大肋膜外血種: 案例報告

Translated title of the contribution: Huge Traumatic Extrapleural Hematoma: A Case Report

Ting-Kuo Chien, Li-Hua Lu, Shin-Han Tsai, Wai Mau Choi, Kwo Syin Wang, Hsueh Ru Wu, Hung-Chang Liu

Research output: Contribution to journalArticle

Abstract

The clinical figures for traumatic extra-pleural hematoma, the most common injury encountered at an emergency department, have not yet been fully understood by emergency physicians. A lack of an appropriate understanding may lead to patient mortality as a consequence. In this case study, a 72-year-old patient presented with chronic obstructive pulmonary disease and had developed a huge traumatic extra-pleural hematoma as a result of multiple rib fractures after an incident where he had fallen down. After prompt surgical intervention in the form of a thoracotomy, a successful outcome for the patient was obtained. The focus of this study emphasizes the value of chest radiology, computer tomography (CT) and angiography. Interventions such as needle aspiration of or chest tube drainage of the hematoma are not suggested. Surgical interventions should be implemented immediately when there are any signs of respiratory or hemodynamic compromise. This approach has been supported over the past decades in a series of successful reports on surgical intervention after the occurrence of traumatic extra-pleural hematoma.
Translated title of the contributionHuge Traumatic Extrapleural Hematoma: A Case Report
Original languageTraditional Chinese
Pages (from-to)164-168
Number of pages5
Journal中華民國急救加護醫學會雜誌
Volume14
Issue number4
Publication statusPublished - 2003

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