Wada Shinsuke, Noguchi Tsuyoshi, Hashimoto Tsuyoshi, Uchida Yuzo, Kawahara Katsunobu
Department of Oncological Science (Surgery 2), Oita University Faculty of Medicine, Oita, Japan.
Ann Thorac Cardiovasc Surg. 2005 Oct;11(5):313-5.
Pins and wires offer the simplest and most effective tools for managing bone fractures and dislocations. Migration of these devices within the chest is rare, but can cause serious problems. The spontaneous migration of Kirschner wires from the right clavicle to the mediastinum resulted in penetrating injury of the esophagus and pseudo-aneurysm of the brachiocephalic artery in an 84-year-old patient. Two Kirschner wires were removed via a vertical incision on the right shoulder without thoracotomy and the brachiocephalic artery was replaced with a Dacron graft.
钢针和钢丝是处理骨折和脱位最简单且最有效的工具。这些器械在胸部内移位的情况罕见，但可能引发严重问题。一名84岁患者的克氏针从右锁骨自发移位至纵隔，导致食管穿透伤和头臂动脉假性动脉瘤。通过右肩的垂直切口在未进行开胸手术的情况下取出了两根克氏针，并用涤纶移植物替换了头臂动脉。
