Journal of Okayama Medical Association
Published by Okayama Medical Association

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重症胸部外傷後肺膿瘍に対し肺葉切除術を施行し救命できた1例

Inukai, Michio
Ichiba, Shingo
Tsuda, Mikako
Fujimura, Naoyuki
Ujike, Yoshihito Kaken ID publons
Ichihara, Syuji
Aoi, Motoi
Sano, Yoshifumi
Date, Hiroshi
Shimizu, Nobuyoshi
Abstract
Thoracic trauma is rarely managed by major thoracotomy. We report a 61-year-old male patient with pulmonaryabscess after severe thoracic trauma, who was managed successfully by major thoracotomy. The patient was injured after a fall from a height of 6 meters.He developed multiple rib fractures with right flail chest, pulmonary contusion,right hemo-pneumothorax, and subcutaneous emphysema.He was intubated and ventilated, and his chest was drainaged. He had been managed with conservative treatment initially. However he developed a pulmonary abscess in the right lung that was unresponsive to CT-guided drainage therapy. The right lower lobectomy was performed on the 23rd day after his injury. His general condition greatly recovered and all the chest drains were removed on the 45th post trauma day. He was discharged from the hospital on the 86th post operative day. He was considered now fully recovered at 7 months after the accident.
Keywords
胸部外傷 (Chest trauma)
肺膿瘍 (Pulmonary abscess)
肺挫傷 (Pulmonary contusion)
肺葉切除術 (Lobectomy)
Note
症例報告
ISSN
0030-1558
NCID
AN00032489