Andrabi Syed Amer H, Andrabi Syed Imran H, Mansha Muhammad, Ahmed Muhammad
Mayo Hospital, Lahore, Pakistan.
N Z Med J. 2007 Oct 26;120(1264):U2784.
Penetrating thoracic trauma poses a management challenge to the on-call surgeon. A casual and unwary approach can lead to unforeseen complications in the initial height of management of such patients. We present a case of penetrating thoracic trauma where initial management with closed tube thoracostomy resulted in intubation of the stomach that had herniated into the chest through a diaphragmatic rent. Patients with penetrating injuries to the zone between the abdomen and chest should be managed with a high index of suspicion.
穿透性胸部创伤给值班外科医生带来了管理挑战。随意和粗心的处理方法可能会在此类患者管理的初始阶段导致不可预见的并发症。我们报告一例穿透性胸部创伤病例，其中最初采用闭式胸腔引流术进行处理，结果导致胃通过膈肌裂孔疝入胸腔后被插管。对腹部和胸部之间区域有穿透伤的患者进行处理时应保持高度怀疑。
