Cough-Induced Rib Fracture: an Unusual Cause of Acute Chest Pain

咳嗽引起肋骨骨折：一個不尋常的急性胸痛的原因

瞿裕昌(Yu-Chuang Chu) ； 吳元暉(Yuan-Hui Wu) ； 蔡光超(Kuang-Chao Tsai) ； 侯民波(Min-Po Ho)

《輔仁醫學期刊》 14卷4期 (2016/12) Pp. 213-216

https://doi.org/10.3966/181020932016121404005

摘要

Rib fractures are common injuries seen in the emergency department, and occur most often following blunt thoracic trauma. However, violent or sustained coughing can also cause complications such as pneumothorax and rib fracture. We report a 50-year-old man who presented to the emergency department with an intermittent nonproductive cough for 8 days and sudden onset of right side chest pain after an episode of violent paroxysmal coughing. The initial chest radiograph did not reveal a rib fracture. Subsequent chest computed tomography demonstrated a linear nondisplaced fracture at the lateral aspect of the right 8th rib. The patient gradually improved after medical treatment and was discharged the next day.

關鍵字

cough ； chest pain ； rib fracture

並列摘要

肋骨骨折是在急診室常見的損傷，其中最常發生鈍性胸外傷，但劇烈或持續咳嗽也能相關的一些併發症，如氣胸和肋骨骨折。我們報告一個50歲的男子間歇性的咳嗽8天，劇烈的陣發性咳嗽發作後右胸痛突然發作。胸部X光顯示無異常。其後的胸部電腦斷層發現右第八肋骨側面線性非位移性骨折。如病人表現為長期或嚴重的咳嗽，一但突然胸痛發作時應懷疑咳嗽引起的肋骨骨折。病患接受內科治療改善後隔天就平安出院。

並列關鍵字

咳嗽 ； 胸痛 ； 肋骨骨折