Simşek Osman, Kilincer Cumhur, Sunar Hasan, Hamamcioğlu Mustafa Kemal, Canbaz Suat, Cobanoğlu Sebahattin, Duran Enver
Department of Neurosurgery, Trakya University School of Medicine, Edirne, Turkey.
Neurol Med Chir (Tokyo). 2004 May;44(5):263-5. doi: 10.2176/nmc.44.263.
A 32-year-old man presented with a combined penetrating stab injury of the spinal cord and the aorta caused by a knife wound in his back at the low thoracic level. The knife had broken, and part of the blade had been retained in the wound, passing through the spinal canal and into the aortic lumen. The patient was treated in two steps: the aorta was repaired by a thoracotomy, then spinal exploration was carried out through a laminectomy. Because of the tamponade effect of the foreign body, it was necessary to delay removal of the blade until vascular control had been achieved. Any sign of a penetrating body passing through the spine should suggest careful evaluation to detect any visceral injury, and multidisciplinary treatment should be planned.
一名32岁男性因背部下胸段刀伤导致脊髓和主动脉联合穿透性刺伤。刀已折断，部分刀片留在伤口内，穿过椎管进入主动脉腔。患者分两步进行治疗：通过开胸手术修复主动脉，然后通过椎板切除术进行脊髓探查。由于异物的填塞作用，有必要在实现血管控制后再延迟取出刀片。任何穿透身体经过脊柱的迹象都应提示进行仔细评估以检测任何内脏损伤，并应规划多学科治疗。
