Cecchetto Giovanni, Viel Guido, Boscolo-Berto Rafael, Fais Paolo, Snenghi Rossella, Zuin Andrea
Department of Environmental Medicine and Public Health, University of Padova, Padova, Italy.
Med Sci Law. 2012 Jan;52(1):47-9. doi: 10.1258/msl.2011.011026.
Percutaneous tube thoracostomy (PTT) remains the most widely performed procedure to manage blunt or penetrating chest traumas. This life-saving manoeuvre can be frequently associated with complications. We present the case of a 76-year-old man, admitted to a peripheral hospital after a car accident and treated by PTT, who died shortly after the withdrawal of the chest tube. At autopsy, the victim was found to be affected by an extensive haemothorax resulting from the perforation of a subpleural angiomatoid lesion. The histopathological characteristics and the pathogenesis of the iatrogenic injury involving the vascular abnormality, along with its causal role in determining the fatal haemothorax, are critically discussed under both clinical and forensic points of view.
经皮胸腔置管引流术（PTT）仍然是处理钝性或穿透性胸部创伤最广泛实施的手术。这种挽救生命的操作常常会伴有并发症。我们报告一例76岁男性病例，该患者在车祸后被送往一家基层医院并接受了PTT治疗，在拔除胸管后不久死亡。尸检发现，受害者患有广泛血胸，系由胸膜下血管瘤样病变穿孔所致。从临床和法医角度对涉及血管异常的医源性损伤的组织病理学特征、发病机制及其在导致致命血胸中的因果作用进行了批判性讨论。
