创伤性膈肌损伤后继发的气胸

Gustavo Dragustinovis-Hinojosa, Jorge Aurelio Gutiérrez González, Dario Eduardo Medina Muñoz, G. E. Muñoz Maldonado
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引用次数: 0

摘要

创伤性膈疝最早由Ambroise par于1579年描述,他报告了一位炮兵上尉的病例,该病例表现为肠道穿孔,导致膈疝1。创伤性膈疝的及时诊断可能是一个挑战,这需要广泛的创伤运动学知识,以及临床和放射学证据2。我们提出的情况下,一个60岁的男性谁提出钝性腹部创伤由于交通事故,导致一个未被发现的膈疝在他的初步评估;事故发生几个月后,因血流动力学不稳定和感染性休克而去急诊室。诊断为复杂的膈疝和肺气胸,为此他接受了手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury
Traumatic diaphragmatic hernias were first described by Ambroise Paré in 1579, who reported the case of an artillery captain, that presented an intestinal perforation that had caused a diaphragmatic hernia 1. The timely diagnosis of a traumatic diaphragmatic hernia can be a challenge , which requires extensive knowledge of the kinematics of trauma, as well as clinical and radiological evidence 2. We present the case of a 60-year-old male who presented blunt abdominal trauma due to a traffic accident, causing an undetected diaphragmatic hernia in his initial evaluation; months after de incident goes to the emergency room (ER) with hemodynamic instability and septic shock. A diagnosis of complicated diaphragmatic hernia and fecopneumothorax is made, for which he undergoes surgery.
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