For several years, our department has been carrying out “severe lung laceration suture technique with lobe preservation and absorbable rib nail for severe chest trauma”, which has made our department reach the leading level in the treatment of thoracic trauma in China. The early open-chest exploration and multi-method internal fixation for severe chest trauma such as multiple rib fractures with shackle chest have significantly improved the treatment rate, reduced the average ICU hospitalization days and ventilator use time, and proposed the indications for absorbable bone nailing and rib fracture classification for the first time in China. The suturing technique for severe lung laceration with preservation of lobe was published in Chinese Journal of Core Journals Chinese Journal of Thoracic and Cardiovascular Surgery and Chinese Clinical Journal of Thoracic and Cardiovascular Surgery.
Case 1 Car accident trauma multiple fracture shackle chest hemopneumothorax lung laceration injury Chifeng College Hospital Cardiothoracic Surgery Department Su Zhiyong
Preoperative multiple fractures with hemopneumothorax and pulmonary laceration
Good reset traumatic wet lung on the first postoperative day
The third day after surgery, the wet lung was significantly improved by taking off the ventilator
The drainage tube was removed on the fifth day after surgery
Satisfactory return to bed on the eighth postoperative day
Case 2 donkey kick injury multiple rib fractures shackle chest hemopneumothorax lung laceration
Multiple rib fracture with shackle chest hemopneumothorax pulmonary laceration
Satisfactory fixation of the absorbable bone nail with the ring hugger bone plate