Iwata Takashi, Inoue Kiyotoshi, Hige Masaaki, Yamazaki Keiichi, Kawata Yasuhiro, Suehiro Shigefumi
Department of Thoracic Surgery, Osaka City University Hospital, 1-4-3 Abeno-ku, Asahi-machi, Osaka 545-8585, Japan.
Jpn J Thorac Cardiovasc Surg. 2006 Oct;54(10):444-7. doi: 10.1007/s11748-006-0028-z.
A 41-year-old man was shot three times with a custom-made handgun. There were six small round wounds on the surface from two bullets that went into the body and one bullet found in a wall behind the victim at the scene. The gunshot wound in the left supraclavicular region bled massively. He was transferred to our hospital and soon fell into shock. A chest radiogram showed right hemothorax. Resuscitation and blood transfusion were started, and right thoracic drainage was immediately undertaken. The left subclavicular region was incised, and bleeding from the left subclavian vein stopped. Right thoracotomy was done, and bleeding from the lung was controlled. Laparotomy was needed to look for the missing trajectory. Speculation regarding trajectories of bullets in patients with multiple thoracoabdominal gunshot wounds is difficult, and an emergent operation is often needed to control bleeding or to evaluate possible organ injury.
一名41岁男子被一把自制手枪击中三次。体表有六个小圆形伤口，两颗子弹进入体内，现场在受害者身后的墙上发现了一颗子弹。左锁骨上区域的枪伤大量出血。他被转送至我院，很快陷入休克。胸部X光片显示右侧血胸。开始进行复苏和输血，并立即进行右侧胸腔引流。切开左锁骨下区域，左锁骨下静脉出血停止。进行了右侧开胸手术，肺部出血得到控制。需要进行剖腹手术以寻找缺失的弹道。推测多发胸腹枪伤患者子弹的弹道很困难，通常需要紧急手术来控制出血或评估可能的器官损伤。
