Suh M, Shaikh J R, Dixon A M, Smialek J E
Office of the Chief Medical Examiner for the State of Maryland, Baltimore 21201.
Am J Forensic Med Pathol. 1992 Dec;13(4):324-5. doi: 10.1097/00000433-199212000-00011.
We report a case of failure of thumbtacks used in achieving last-resort hemostasis in a gunshot injury to the presacral venous plexus/sacrum. Four of five thumbtacks used detached. The exact mechanism of failure is not known. To our knowledge, there are no reports of failure of these hemostatic devices in the literature. This finding suggests to us that thumbtack hemostasis is not without complication. It is not known whether injury to internal viscera and organs occurred secondary to the loose thumbtacks. We suggest that surgeons as well as pathologists use caution when exploring pelvic or abdominal cavities following pelvic vascular trauma due to the considerable danger posed by these sharp objects.
我们报告了一例在骶前静脉丛/骶骨枪伤中使用图钉进行最后手段止血失败的病例。所使用的五枚图钉中有四枚脱落。确切的失败机制尚不清楚。据我们所知，文献中没有关于这些止血装置失败的报道。这一发现向我们表明，图钉止血并非没有并发症。尚不清楚松动的图钉是否导致了内脏和器官的损伤。我们建议，由于这些尖锐物体带来的巨大危险，外科医生和病理学家在盆腔血管创伤后探查盆腔或腹腔时应谨慎行事。
