Sobel M, Decker E, Cammisa F P, Berger S R
Hospital for Special Surgery, New York, New York 10021.
J Orthop Trauma. 1992;6(4):473-7. doi: 10.1097/00005131-199212000-00015.
Open injuries of the brachial plexus are rare. One such case, that of a 68-year-old impaled on a fence spike, is presented here. Certain principles to guide evaluation and treatment are discussed. Concomitant injury to the pleura or to vascular structures requires immediate attention; the extent and type of plexus damage may be determined from physical findings and the nature of injury. The results of plexus reconstruction are variable and routine exploration may be detrimental. The Brooks classification is reviewed.
臂丛神经开放性损伤较为罕见。本文介绍了一例此类病例，患者为一名68岁男性，被栅栏尖刺刺穿。文中讨论了指导评估和治疗的某些原则。胸膜或血管结构的合并损伤需要立即处理；可根据体格检查结果和损伤性质确定臂丛神经损伤的程度和类型。臂丛神经重建的结果各不相同，常规探查可能有害。本文还回顾了布鲁克斯分类法。
