Kremer Howard, Wilson Jonathan
University of Missouri-Kansas City School of Medicine, USA.
Mo Med. 2010 Sep-Oct;107(5):328-30.
This report describes a 22-year-old male who presented with penetrating trauma to the left second intercostal space. He was found to be clinically stable; however, Focused Assessment with Sonogrpahy in Trauma (FAST) exam revealed large pericardial effusion suspicious for cardiac injury. Management of the patient with penetrating trauma to the chest is discussed and appropriate literature is reviewed. This report supports delayed thoracotomy in the appropriately selected patient as safe. It avoids the morbidity and unnecessary dangers incumbent in emergency department (ED) thoracotomy.
本报告描述了一名22岁男性，其左第二肋间间隙遭受穿透性创伤。发现其临床情况稳定；然而，创伤超声重点评估（FAST）检查显示大量心包积液，怀疑有心脏损伤。本文讨论了胸部穿透性创伤患者的治疗方法，并回顾了相关的适当文献。本报告支持在适当选择的患者中延迟开胸手术是安全的。它避免了急诊科开胸手术带来的发病率和不必要的风险。
