University of Minnesota Medical School, MN 55805, USA.
J Pediatr Surg. 2010 Jan;45(1):245-8. doi: 10.1016/j.jpedsurg.2009.09.035.
We present a case of a 15-month-old child with a history of thoracic impalement after improper safety seat restraint. The foreign body was stabilized with bulky dressings in the field before transport. Imaging revealed possible pulmonary artery involvement; and consequently, a thoracotomy was done to obtain vascular control before removal. We use this case to highlight prehospital care and operative management of a patient with foreign body impalement.
我们报告了 1 例 15 个月大的患儿,因安全带使用不当导致胸部刺伤。在转运前,现场用大块敷料稳定异物。影像学检查提示可能累及肺动脉;因此,行开胸术以获得血管控制,然后取出异物。我们通过此病例强调了异物刺伤患者的院前救治和手术处理。