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
  • [31] MANAGEMENT OF FLAIL CHEST - WITH 53 REPORTS
    DELAYE, A
    METRAS, D
    AMOROS, JE
    MALMEJAC, C
    ANNALES DE CHIRURGIE, 1973, 12 (02): : 119 - 122
  • [32] MODERN CONCEPTS IN THE MANAGEMENT OF FLAIL CHEST
    MANGETE, EDO
    KOMBO, BB
    IGBASEIMOKUMO, U
    NWOSU, RN
    EAST AFRICAN MEDICAL JOURNAL, 1992, 69 (03) : 167 - 170
  • [33] FLAIL CHEST-MANAGEMENT AND COMPLICATIONS
    WEBB, AK
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 1978, 20 (04): : 406 - &
  • [34] The modified Ravitch approach for the management of severe anterior flail chest with bilateral sternochondral dislocations: a case report
    Gabriel Estremera
    Ellen Chieko Omi
    Eduardo Smith-Singares
    Surgical Case Reports, 4 (1)
  • [35] MANAGEMENT OF FLAIL CHEST - COMPARISON OF VENTILATORY AND NON-VENTILATORY TREATMENT
    SHACKFORD, SR
    SMITH, DE
    ZARINS, CK
    RICE, CL
    VIRGILIO, RW
    AMERICAN JOURNAL OF SURGERY, 1976, 132 (06): : 759 - 762
  • [36] FLAIL CHEST - CASE PRESENTATION AND DISCUSSION
    CULVENOR, JA
    AUSTRALIAN VETERINARY PRACTITIONER, 1986, 16 (03): : 147 - 147
  • [37] METHYLENE BLUE FOR REFRACTORY SHOCK IN POLYTRAUMATIZED PATIENT: A CASE REPORT
    Volpon, Leila Costa
    Barbosa Evora, Paulo Roberto
    Teixeira, Gisele Douradinho
    Godinho, Mauricio
    Scarpelini, Sandro
    Carmona, Fabio
    de Carvalho Panzeri Carlotti, Ana Paula
    JOURNAL OF EMERGENCY MEDICINE, 2018, 55 (04): : 553 - 558
  • [38] TREATMENT OF FLAIL INJURY OF CHEST - REPLY
    BARASH, PG
    ANAESTHESIA, 1978, 33 (04) : 378 - 378
  • [39] FLAIL CHEST - PATHOPHYSIOLOGY, TREATMENT, AND PROGNOSIS
    ANDERSON, M
    PAYNE, JT
    MANN, FA
    CONSTANTINESCU, GM
    COMPENDIUM ON CONTINUING EDUCATION FOR THE PRACTICING VETERINARIAN, 1993, 15 (01): : 65 - 76
  • [40] TREATMENT OF FLAIL CHEST WITH JUDET STRUTS
    MENARD, A
    TESTART, J
    PHILIPPE, JM
    GRISE, P
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1983, 86 (02): : 300 - 305