Majeski James
Majeski Surgical Institute, Mt. Pleasant, South Carolina, USA.
Int Surg. 2007 Mar-Apr;92(2):99-102.
Female breast trauma occasionally occurs while using a three-point lap-diagonal seat belt while involved in a motor vehicle collision. Breast trauma is either a crush injury or an avulsion injury. Breast traumatic injury is infrequently reported. The records and complete follow-up results from all patients who were treated for breast trauma caused by lap-diagonal seat belt injury over a 25-year period were reviewed and reported. A series of 19 female patients were treated for breast trauma that occurred during a motor vehicle collision in which the patient was using a three-point lap-diagonal seat belt restraint. Patient age range at the time of injury was 18-75 years. The patients' breast injuries were classified according to the type and severity of breast trauma. Fourteen patients had a class I mild crush injury. All recovered completely with conservative breast care. Four patients had a class II moderate crush injury. All four patients had an area of painful chronic fat necrosis removed. Two of four patients with a class II injury continue to have mild to moderate chronic breast pain. A single patient with a class III severe crush injury was successfully treated nonsurgically. The breast healed with a diagonal furrow. No chronic breast pain has been associated with this class III breast crush injury. No class IV avulsion breast injuries were treated in this clinical series. A classification of breast trauma from a motor vehicle collision in which the female was wearing a three-point lap-diagonal seat belt restraint has been developed. Results of treatment of 19 patients are reported with breast trauma, with a clinical guide for immediate and long-term care. Chronic breast pain persists in two patients in this series with a class II breast injury who had an area of traumatic fat necrosis. No breast cancer occurred in long-term complete follow-up in this series of 19 patients with breast trauma.
女性在机动车碰撞事故中使用三点式腰部对角安全带时偶尔会发生乳房创伤。乳房创伤要么是挤压伤，要么是撕脱伤。乳房创伤性损伤的报道较少。回顾并报告了在25年期间因腰部对角安全带损伤导致乳房创伤而接受治疗的所有患者的记录和完整随访结果。一系列19名女性患者因在机动车碰撞事故中使用三点式腰部对角安全带约束装置而发生乳房创伤接受治疗。受伤时患者年龄范围为18 - 75岁。根据乳房创伤的类型和严重程度对患者的乳房损伤进行分类。14名患者为I级轻度挤压伤。通过保守的乳房护理全部完全康复。4名患者为II级中度挤压伤。所有4名患者均切除了疼痛的慢性脂肪坏死区域。4名II级损伤患者中有2名继续有轻度至中度慢性乳房疼痛。1名III级严重挤压伤患者非手术治疗成功。乳房愈合后有一条对角沟。该III级乳房挤压伤未伴有慢性乳房疼痛。本临床系列中未治疗IV级撕脱性乳房损伤。已制定了女性在佩戴三点式腰部对角安全带约束装置的机动车碰撞中乳房创伤的分类。报告了19例乳房创伤患者的治疗结果，并给出了即时和长期护理的临床指南。本系列中2名II级乳房损伤且有创伤性脂肪坏死区域的患者持续存在慢性乳房疼痛。在这19例乳房创伤患者的长期完整随访中未发生乳腺癌。
