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master's thesis
NESTABILNI PRSNI KOŠ
2017. urn:nbn:hr:184:983571
Đurđević, Danko
University of Rijeka
Faculty of Medicine
Department of Surgery

Cite this document

Đurđević, D. (2017). NESTABILNI PRSNI KOŠ (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:983571

Đurđević, Danko. "NESTABILNI PRSNI KOŠ." Master's thesis, University of Rijeka, Faculty of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:184:983571

Đurđević, Danko. "NESTABILNI PRSNI KOŠ." Master's thesis, University of Rijeka, Faculty of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:184:983571

Đurđević, D. (2017). 'NESTABILNI PRSNI KOŠ', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 14 April 2025, https://urn.nsk.hr/urn:nbn:hr:184:983571

Đurđević D. NESTABILNI PRSNI KOŠ [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2017 [cited 2025 April 14] Available at: https://urn.nsk.hr/urn:nbn:hr:184:983571

D. Đurđević, "NESTABILNI PRSNI KOŠ", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2017. Available at: https://urn.nsk.hr/urn:nbn:hr:184:983571

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Metadata
TitleNESTABILNI PRSNI KOŠ
AuthorDanko Đurđević
MentorAldo Ivančić (mentor)
Committee memberHarry Grbas (predsjednik povjerenstva)
Committee memberTedi Cicvarić (član povjerenstva)
Committee memberDubravka Matanić Lender (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Surgery)
Rijeka
Defense date and country2017-09-22, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Nestabilni prsni koš je potencijalno hitno stanje koje se javlja kod prijeloma triju ili više susjednih rebara na dva ili više mjesta. To je česta vrsta ozljede uzrokovana nepenetrantnom traumom na prsni koš; kao kod prometnih nesreća, nasilja i padova. Češće se događa kod muškaraca, pogotovo mlađih. Ovakav događaj dovodi do nastajanja slobodnog ulomka koji se, paradoksalno, uvlači prilikom inspirija, a izbočuje prilikom ekspirija. To je uz bol i dispneju glavni simptom. Najznačajnija... More komplikacija i popratna patofiziologija jest kontuzija pluća, a mogu se javiti i atelektaze, infekcije, pneumotoraks, respiratorna insuficijencija i druge. Dijagnoza se postavlja iz kliničke slike i slikovnih pretraga. Pacijent obično mora biti obrađen u JIL-u. Liječenje se može sastojati od stabilizacije pacijenta, analgezije, endotrahealne intubacije i mehaničke ventilacije, torakotomije i kirurške fiksacije rebara, higijene dišnih puteva i fizioterapije. Dugoročno, ovaj tip ozljede nosi sa sobom puno komplikacija, invalidnosti pa i veliku smrtnost. U budućnosti je potrebno poboljšati i standardizirati terapijske protokole. Less
Abstract (english)
Flail chest is a potential emergency which occurs when three or more ribs are fractured on two or more sites. It is a common type of injury caused by blunt trauma to the chest, as seen in traffic accidents, violence and falls. It is more common in men, especially younger ones. This occurence generates an unstabilised piece of the chest wall, which moves paradoxically, in an opposite way compared to the rest of the chest wall during the inhalation and exhalation. This is a major... More symptom, along with pain and dyspnea. The most common complication and adjacent pathology is the lung contusion, but atelectases, infections, pneumothorax, respiratory failure and others can also occur. Flail chest is diagnosed via the clinical examination and imaging techniques. The patient usually has to be situated in an ICU. Therapy can consist of stabilisation, analgesia, endotracheal intubation and mechanical ventilation, thoracotomy and fixation of the ribs, pulmonary hygiene and physiotherapy. Speaking long –term, this type of injury has a lot of complications, and causes a lot of disability and death. In the future, we should standardize therapy protocols and make them better. Less
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:983571
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-01-04 10:29:54
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