Rhodes Stancie C, Gupta Surupa S
Department of Surgery, Division of Acute Care Surgery, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA.
J Emerg Trauma Shock. 2013 Apr;6(2):135-7. doi: 10.4103/0974-2700.110792.
Over the last century, only four cases have been published of patients sustaining gunshot wounds to the chest, managed nonoperatively, who eventually expectorated the bullet. We report the case of a hemodynamically stable 24-year-old male whose bullet was found in the left pulmonary hilum on admission computed tomography (CT) scan. Further workup revealed no obvious aerodigestive injury. Shortly after extubation, he expectorated the bullet onto the floor. Little is known about how to manage these stable, yet challenging patients.
在过去的一个世纪里，仅有4例胸部枪伤患者的病例被发表，这些患者接受了非手术治疗，最终咳出了子弹。我们报告一例血流动力学稳定的24岁男性病例，其入院时的计算机断层扫描（CT）显示子弹位于左肺门。进一步检查未发现明显的气消化道损伤。拔管后不久，他将子弹咳出到地板上。对于如何处理这些病情稳定但颇具挑战性的患者，我们知之甚少。
