Flail Chest  

Oleh:

Alexander, Philip

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 23 (Dec. 2010), page 363:e35.
Topik: Chest Injure
Fulltext: Chest Injure.pdf (69.33KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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A 20-year-old man was injured while riding a tractor that fell into a gorge. He was taken to the hospital within an hour. On admission, he was normotensive and responsive to commands, and the oxygen saturation was 90% while he was receiving 4 liters of oxygen by means of a nonrebreather mask. Air entry into the right thorax was normal. The left side of the chest was “stoved in.” This term is used colloquially to describe injuries resulting in flail chest and means that complex fractures in multiple ribs result in isolation of a portion of the chest wall from the thoracic rib cage. This results in paradoxical motion, with the affected portion of the chest wall moving inward during inspiration (video). A chest tube was inserted into the left thorax, and the patient underwent surgery. Segments of the fourth through eighth left ribs were found lying in the chest cavity. The patient's left lung was lacerated, but there was no major injury to the heart or major vessels. His ribs were wired together, and he had a full recovery.

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