[A case of extremely severe chest injury with fracture of several ribs (author's transl)].
A 72-years old man was severely injured when a lorry rolled back and pinned him down, causing contusion of the chest, fractures of ribs 3-10 on the right and haemothorax. Treatment of the chest injuries was by drainage and by positive end-expiratory pressure ventilation because of the development of severe pneumonia with wet lung. Persistent renal insufficiency, a gastro-intestinal haemorrhage and diabetes also required treatment. The patient developed septic endomyocarditis as a late complication, possibly attributable to the central venous catheter. All pulmonary and extrapulmonary injuries and complications could be set right during the patient's 4-months' stay in the intensive care unit.
D000368:Aged; D001803:Blood Transfusion; D006801:Humans; D007709:Klebsiella / Q000302:isolation & purification; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D010996:Pleural Effusion / Q000628:therapy; D011175:Positive-Pressure Respiration; D012131:Respiratory Insufficiency / Q000628:therapy; D012253:Rib Fractures / Q000628:therapy*; D018805:Sepsis / Q000382:microbiology; D012709:Serum Albumin / Q000627:therapeutic use; D012774:Shock, Traumatic; D013396:Suction
D012709:Serum Albumin; D008775:Methylprednisolone
Kasuistischer Beitrag zur Problematik schwerster Thorax-Kontusion und Rippenserienfraktur.