Baranyai Zsolt, Jósa Valéria, Jakab Ferenc, Szabó Gyozo János
Fovárosi Onkormányzat Uzsoki utcai Kórház Sebészeti, Ersebészeti Osztály.
Orv Hetil. 2007 Aug 12;148(32):1521-3. doi: 10.1556/OH.2007.28044.
The authors present the case of a 29-year-old female with stab wound to the abdomen. After the initial fluid resuscitation and preliminary radiographic examinations immediate laparotomy was indicated due to hypovolaemic circulatory collapse. Splenectomy and gastric suture were necessary. Following the urgent interventions a wound of the left diaphragm was noticed during the extended abdominal exploration. According to the prior examinations and the operative situation it was not clear whether the injury is penetrating. In order to avoid explorative thoracotomy intraoperative ultrasonography was performed: the transducer and the acoustic gel were placed into sterile plastic bag and the organs above the diaphragm were examined from the abdominal cavity. With this method intrathoracic injury close to the diaphragm could be clearly excluded.
作者报告了一例29岁女性腹部刺伤的病例。在初始液体复苏和初步影像学检查后，由于低血容量性循环衰竭，立即进行了剖腹手术。脾切除术和胃缝合术是必要的。在紧急干预后，在扩大的腹部探查中发现左膈肌有伤口。根据先前的检查和手术情况，尚不清楚该损伤是否为穿透性。为避免进行探查性开胸手术，进行了术中超声检查：将换能器和声凝胶放入无菌塑料袋中，从腹腔检查膈肌上方的器官。通过这种方法，可以明确排除靠近膈肌的胸腔内损伤。
