Flail chest in a polytraumatized patient: management and treatment case report

被引:0
|
作者
Milosevic, Bojan [1 ,2 ]
Milisavljevic, Slobodan [1 ,2 ]
Doncic, Nikola [1 ]
Arsenijevic, Milos [1 ,2 ]
Mrvic, Stanko [1 ]
Stojkovic, Dragan [1 ]
Maric, Nebojsa [3 ]
Spasic, Marko [1 ,2 ]
机构
[1] Clin Ctr Kragujevac, Clin Gen & Thorac Surg, Kragujevac 34000, Serbia
[2] Univ Kragujevac, Fac Med Sci, Kragujevac, Serbia
[3] Mil Med Acad, Clin Thorac Surg, Belgrade, Serbia
关键词
multiple trauma; thoracic injuries; liver; humeral fractures; diagnostic techniques and procedures; suction; respiration; artificial; PROLONGED MECHANICAL VENTILATION; DIAGNOSTIC PERITONEAL-LAVAGE; BLUNT ABDOMINAL-TRAUMA; COMPUTED-TOMOGRAPHY; RIB FRACTURES; LIFE-SUPPORT; STABILIZATION; INTUBATION; INJURIES; FIXATION;
D O I
10.2298/VSP151207097M
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction. Management of a polytraumatized patient is a problem that requires a multidisciplinary approach, in order to optimise patient's outcome. The purpose of this study was to show the approach in the treatment of a patient with a severe life-threatening polytrauma, including a personalized healthcare approach with the positive outcome after the inadequate initial treatment. Case report. We presented a case of a young polytraumatized patient with trauma as a result of road traffic accident. The patient had chest, abdominal and right arm injuries. He was diagnosed of hepatic rupture with conquasation and retroperitoneal hematoma and the patient underwent liver tamponade. Chest trauma due to bilateral serial rib fracture with flail chest was treated by chest drainage. After the adequate multidisciplinary interventions for the patient, the patient was discharged. Conclusion. This case report is of great importance since it shows that severe polytraumatized patients with bad initial prognosis can successfully receive a life-saving treatment.
引用
收藏
页码:786 / 790
页数:5
相关论文
共 50 条
  • [1] Flail chest in pediatric patient. Case report
    Gamerman, Melisa
    Romero Manteola, Enrique
    Contreras, Sofia
    Patino, Celeste
    Bonetto, German
    Salvadores, Agustina
    ARCHIVOS ARGENTINOS DE PEDIATRIA, 2020, 118 (01): : E57 - E60
  • [2] MANAGEMENT OF THE PATIENT WITH CRUSHED CHEST ASSOCIATED WITH FLAIL CHEST
    RIVAROLA, CH
    PRENSA MEDICA ARGENTINA, 1992, 79 (01): : 39 - 42
  • [3] Management of a Flail Chest Caused by Multiple Costosternal Fractures: A Case Report
    Taylor, Zachary
    Miller, Jeremy
    Azani, Danielle Z.
    Patterson, Brian
    McCague, Andrew
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (12)
  • [4] A CASE REPORT: OPERATIVE FIXATION OF FLAIL CHEST IN THE VENTILATOR-DEPENDENT PATIENT
    Hughes, K.
    Adusumilli, R. Kishan
    Patel, M.
    CHEST, 2020, 157 (06) : 134A - 134A
  • [5] Early fixation of the flail chest: case report
    Aparicio-Blanco, Brandon S.
    Barrios-Del Rio, Rodolfo
    Cabrera, Luis F.
    Sanchez-Ussa, Sebastian
    Martinez, Sebastian
    Serna-Lozano, Adriana
    Santafe-Guerrero, Marcia
    Pedraza-Ciro, Mauricio
    CIRUGIA Y CIRUJANOS, 2020, 88 : 63 - 67
  • [6] MANAGEMENT OF FLAIL CHEST
    MILLER, HAB
    TAYLOR, GA
    HARRISON, AW
    MAGGISANO, R
    HANNA, S
    DELACY, JL
    SHULMAN, H
    CANADIAN MEDICAL ASSOCIATION JOURNAL, 1983, 129 (10) : 1104 - 1107
  • [7] Management of flail chest
    Sivaloganathan, M
    HOSPITAL MEDICINE, 2000, 61 (11): : 811 - 811
  • [8] MANAGEMENT OF FLAIL CHEST
    POWERS, SR
    ANNALS OF THORACIC SURGERY, 1975, 19 (04): : 480 - 481
  • [9] MANAGEMENT OF FLAIL CHEST
    TREASURE, RL
    MILITARY MEDICINE, 1979, 144 (09) : 588 - 589
  • [10] TREATMENT OF A FLAIL INJURY OF CHEST - CASE-REPORT WITH CONSIDERATION OF EVOLUTION OF THERAPY
    JETTE, NT
    BARASH, PG
    ANAESTHESIA, 1977, 32 (05) : 475 - 479