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首页> 外文期刊>BMC Surgery >Diagnosis and management of a trapped lung or diaphragm by fractured ribs: analysis of patients undergoing rib fracture repair
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Diagnosis and management of a trapped lung or diaphragm by fractured ribs: analysis of patients undergoing rib fracture repair

机译：肋骨骨折对肺或lung肌的诊断和处理：肋骨骨折修复患者的分析

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摘要

There are few reports regarding a lung or diaphragm trapped by a fractured rib. This study aimed to describe the clinical presentations, diagnosis, and management of these intrathoracic pathologies. We retrospectively reviewed the database at our institute for patients with rib fractures who underwent thoracoscope-assisted surgical stabilization of rib fracture (SSRF). We analyzed the demographic data, mechanism of trauma, presentations, operative findings, and subsequent management strategies. A total of 38 consecutive patients who underwent SSRF were analyzed. Three patients had a trapped lung and one had a trapped diaphragm. Abnormal radiographic findings were observed in 50% of cases. The median waiting time for surgery was 25?days. Surgery was indicated for intractable dynamic pain following conservative treatment. A definitive diagnosis was made during thoracoscopic exploration. Thoracoscopic repair and resection were used for trapped lungs and thoracoscopic release for a trapped diaphragm. We subsequently performed SSRF for unhealed rib fractures. As per our analysis, the incidence of a trapped lung or diaphragm was 10.5%. If a patient presents with persistent intractable dynamic pain, thoracoscopic exploration with concurrent SSRF may be a feasible and effective treatment option.
机译：很少有关于肋骨断裂而困住肺或隔膜的报道。这项研究旨在描述这些胸腔内病理的临床表现，诊断和处理。我们回顾性地回顾了我们研究所的肋骨骨折患者的数据库，这些患者接受了胸腔镜辅助的肋骨骨折手术治疗（SSRF）。我们分析了人口统计学数据，外伤机制，表现，手术结果和后续管理策略。总共分析了38名接受SSRF的连续患者。三名患者的肺部被困，一名患者的隔膜被困。在50％的病例中观察到异常的影像学发现。手术中位等待时间为25天。保守治疗后表明手术可治疗顽固性动态疼痛。在胸腔镜探查过程中做出了明确的诊断。胸腔镜修复和切除术用于捕获肺部，胸腔镜释放术用于捕获隔膜。随后，我们对未愈合的肋骨骨折进行了SSRF。根据我们的分析，被困肺或隔膜的发生率为10.5％。如果患者表现出持续的顽固性动态疼痛，则同时进行SSRF的胸腔镜探查可能是一种可行且有效的治疗选择。

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