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北京市大兴区人民医院 ICU, 北京, 102600
Received:11 April 2026,
Revised:2026-06-05,
Accepted:08 June 2026,
Online First:23 July 2026,
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SUN Ran. Comprehensive Nursing Care and Pulmonary Rehabilitation Management of a Patient with Multiple Rib Fractures Complicated by Hemopneumothorax: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
SUN Ran. Comprehensive Nursing Care and Pulmonary Rehabilitation Management of a Patient with Multiple Rib Fractures Complicated by Hemopneumothorax: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604110001.
本例为高龄重症胸部创伤特殊病例,72岁患者合并双侧多发肋骨骨折、血气胸、肺挫伤、创伤性休克及高血压,生理储备差且基础疾病多,并发症及死亡风险极高,具备典型临床代表性。护理上构建三维一体精细化模式,重点开展循环管控、规范骨折固定、呼吸支持与阶梯式肺康复、多模式镇痛及营养支持,实现损伤控制、早期康复与基础疾病协同管理。患者未出现并发症,快速脱机并恢复至伤前健康水平。本案例完善了高龄重症胸部创伤护理流程,提供可推广的循证实践方案,对提升临床救治水平与患者康复质量意义重大。
This report presents a special and clinically representative case of severe chest trauma in an elderly patient. A 72-year-old male presented with bilateral multiple rib fractures, hemopneumothorax, pulmonary contusion, and traumatic shock, complicated by pre-existing hypertension. Characterized by diminished physiological reserve and multiple comorbidities, the patient faced an extremely high risk of complications and mortality. A refined three-dimensional integrated nursing model was developed, with emphasis on hemodynamic stabilization, standardized fracture fixation, respiratory support combined with stepwise pulmonary rehabilitation, multimodal analgesia, and nutritional support, thereby achieving damage control, early rehabilitation, and coordinated management of underlying diseases. No complications occurred during the treatment course. The patient was successfully weaned from mechanical ventilation in a short time and returned to his pre-injury health status. This case refines the nursing protocol for severe chest trauma in elderly patients and provides an evidence-based, generalizable practice framework, holding substantial significance for enhancing clinical management and optimizing patient rehabilitation outcomes.
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