Isigulane esineminyaka engama-66 ubudala sesigulane sabika ukuba sahlaselwa yisithuthi ngelixa siwela indlela kwiiyure ze-14 ezedlulileyo, kubangela iintlungu ezininzi kwi-sternum, isifuba sokunene kunye nesisu, i-forearm yasekunene kunye neminwe yokunene, ngakumbi intlungu yodonga lwesifuba ngaphandle kokuphefumla. ubunzima.
Isifuba se-CT sibonise ukuba i-2-7 iimbambo ezichanekileyo zaphuka, kwaye inani elincinci le-pleural effusion lalikho kwicala lasekunene.
Ukuqhawuka kweembambo kukwenzakala okuqhelekileyo apho iimbambo igqabhuka okanye iphuhle intanda.Isizathu esixhaphakileyo sisifo sesifuba sokuwa, iingozi zemoto, okanye impembelelo ngexesha lezemidlalo zoqhagamshelwano.Ukwaphuka kweembambo ezininzi kukuqhekeka nje.Nangona kusebuhlungu, ingozi enokubakho yembambo eqhekekileyo ayikho naphi na ikufuphi njengengozi yokwaphuka kwembambo.
Ukusetyenziswa kweplate yethambo lembambo kunokubuyisela ngokukhawuleza ukuzinza kunye nokunyaniseka kwe-thorax, kunye nokuphazamiseka okuncinci, ukusebenza okulula kunye nokulula, kunye nokubuyisela ngokukhawuleza emva kokuhlinzwa, okunokuphucula umgangatho wobomi bezigulane.Ubude besigulane sokuhlanjululwa kunye nexesha lokusebenza lifutshane, ukulahleka kwegazi kwi-intraoperative kuncitshisiwe, umphumo wonyango ulungile, kwaye umthamo weplate yethambo uncinci, ngoko ke ukuhlanjululwa kotyando kuncinci, umonakalo ophazamisayo uyancipha, kwaye i-thoracic cage ingaphezulu. ithambile, inciphisa ngokufanelekileyo ukucaphuka kwezicubu kunye nokuziva komzimba wangaphandle ongaphantsi kwesikhumba.Ukuzinza kokulungiswa, ukungena lula kwe-screw emzimbeni, ukubunjwa kwe-angle ethile phakathi kwe-screw kunye ne-plate, ukuphepha ngokufanelekileyo i-nerve subcostal, kwaye kulula ukuyisusa emva kokuhlinzwa.
Ixesha lokuposa: Feb-26-2022