Resolution is not the end: The Macklin effect after chest tube removal in a trauma patient with aging and comorbidities: a case report.

Faye Abdulkareem, Fayez G Aldarsouni, Sahar Alomar, Zisis Touloumis, Hussain M AlHassan, Ghassan Z Al Ramahi, Tareq Alsabahi, Khaled Twier, Mohammad Alsenani, Emad Alamoudi
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引用次数: 0

Abstract

Pneumomediastinum is an uncommon complication in cases of blunt chest trauma but can signal severe underlying issues. This report discusses a 69-year-old male patient with preexisting conditions of obesity, sleep apnea, and asthma, who experienced delayed pneumomediastinum and pneumopericardium following the removal of a chest tube. This tube had been placed to address a traumatic hemopneumothorax, which had resolved. The removal of the chest tube triggered a series of events, exacerbated by the patient's chronic health conditions. The patient was managed conservatively with close monitoring and physiotherapy, which successfully resolved the condition without the need for further invasive procedures. The multifactorial nature of the Macklin effect illustrates that even routine procedures such as chest tube removal can trigger a chain reaction in susceptible patients. The choice of conservative management, rather than immediate invasive interventions, underscores the delicate balance necessary in trauma care.

在钝性胸部创伤病例中,气胸是一种不常见的并发症,但可能预示着严重的潜在问题。本报告讨论的是一名 69 岁的男性患者,之前患有肥胖、睡眠呼吸暂停和哮喘,在拔出胸管后出现延迟性气胸和气胸。插胸管的目的是为了解决外伤性血气胸,但血气胸已经愈合。拔除胸管引发了一系列事件,而患者的慢性疾病又加重了病情。患者接受了保守治疗,并接受了严密监测和物理治疗,成功缓解了病情,无需进一步进行侵入性手术。麦克林效应的多因素性质说明,即使是拔除胸管这样的常规手术,也会在易感患者中引发连锁反应。选择保守治疗而不是立即采取侵入性干预措施,凸显了创伤护理中所需的微妙平衡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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