Salerni A A, Kuivila T E, Drvaric D M, Deutsch S D, Knuckey N W
Department of Neurosurgery, Rhode Island Hospital, Providence.
Clin Orthop Relat Res. 1991 Mar(264):184-8.
A seven-year-old girl sustained a gunshot wound to the chest and spine. Evaluation of a persistent pleural effusion demonstrated a subarachnoid-pleural fistula. Surgical closure of the dural defect resulted in resolution of the fistula. Traumatic subarachnoid-pleural fistulae are rare. The diagnosis is reached by an awareness of fistula formation from penetrating or blunt trauma to the chest.
一名七岁女孩胸部和脊柱遭受枪伤。对持续存在的胸腔积液进行评估时发现了蛛网膜下腔-胸膜瘘。硬膜缺损的手术闭合使瘘管得以愈合。创伤性蛛网膜下腔-胸膜瘘很罕见。通过认识到胸部穿透伤或钝性伤导致的瘘管形成来做出诊断。