肺損傷予防のために胸腔内突出骨片を摘除した外傷性肋骨骨折の1例

Surgical Resection of the Rib Fragment to Prevent Lung Injury in a Patient with Chest Trauma：Report of a Case

はじめに　外傷性肋骨骨折では保存的治療が行われることが多く，外科的治療を要することは少ない．われわれは骨片が胸腔内に鋭角に突出していた外傷性肋骨骨折に対して，肺損傷予防のために骨片を摘除した症例を経験したので，報告する．

An 82-year old man was admitted for a left fifth rib fracture with traumatic pneumothorax. Computed tomography showed a sharp rib fragment protruding into the thoracic cavity. Thoracic drainage was not performed before surgery to avoid lung injury by the rib fragment. At surgery, fifth rib fragment protruding into the thoracic cavity was found, but lung injury was not present. The bone fragment was removed, and the patient’s postoperative course was uneventful.