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Life-Threatening Hemothorax Following Thoracic Vertebral Fracture

胸脊椎骨骨折導因之致命性血胸

摘要


外傷性血胸在交通事故後是常見的,可是胸脊椎骨骨折合併於外傷性血胸於文獻上只有罕見的報告。我們報告一位21歲女性病患,因交通事故而產生大量血胸及出血性休克,經緊急開胸後,發現除胸椎骨骨折之外並沒有其他胸腔內器官損傷,在這種情況之下,脊椎骨骨折固定術是優先處理之選擇。本文強調於處置胸部鈍傷同時對其併發症應提高警覺。

關鍵字

外傷 血胸 骨折

並列摘要


Traumatic hemothorax is common after traffic accident. However, the association of massive traumatic hemothorax and thoracic vertebral fracture has been rarely reported. We present the case of a 21 years old female patient who sustained a motor vehicle accident, massive hemothorax and hemorrhagic shock. Emergent thoracotomy revealed no intra-thoracic lesion other than a fractured-dislocated thoracic vertebra. Spinal stabilization was the treatment of choice in this setting. This report raises the index of suspicion for blunt chest trauma complicating such injury.

並列關鍵字

trauma hemothorax fracture

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