Bose Amal K, Ferguson Jonathan, Hunter Steven
Department of Cardiothoracic Surgery, The James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, UK.
Interact Cardiovasc Thorac Surg. 2010 Jun;10(6):1054-5. doi: 10.1510/icvts.2009.220608. Epub 2010 Feb 5.
We present a fascinating case of major penetrating trauma to the chest which resulted in a successful outcome. Often such trauma is associated with a poor outcome due to injury to the heart, lungs or major blood vessels with subsequent massive blood loss, pnuemothorax or haemo-pneumothorax. Late complications include infection rarely mediastinitis, empyema and occasionally chylothorax from damage to the thoracic duct.
我们展示了一例令人着迷的胸部严重穿透伤病例，其最终获得了成功的治疗结果。通常情况下，此类创伤因心脏、肺部或主要血管受损，继而导致大量失血、气胸或血气胸，预后往往较差。晚期并发症包括感染（很少发生纵隔炎、脓胸），偶尔还会因胸导管受损引发乳糜胸。
