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颅内泰瑟枪 dart 穿透伤:文献综述与手术治疗

Intracranial taser dart penetration: Literature review and surgical management.

作者信息

Kaloostian Pe, Tran H

机构信息

University of New Mexico, Albuquerque USA.

出版信息

J Surg Case Rep. 2012 Jun 1;2012(6):10. doi: 10.1093/jscr/2012.6.10.

DOI:10.1093/jscr/2012.6.10
PMID:24960679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3862189/
Abstract

We report the case of a fourteen-year-old female who obtained TASER dart penetration to her right parietal region. She was neurologically intact with headache. CT scan of the head demonstrated TASER penetration intracranially without hemorrhage. Attempts were made at sterile removal of TASER at bedside under sedation. This caused the TASER to break at multiple points leaving only an intracranial component. She was urgently taken to the operating room for craniectomy for TASER removal. After reviewing the literature of an additional two patients, we suggest patients should not have attempts at removing device at bedside and should be taken to the operating room for adequate removal and washout.

摘要

我们报告了一名14岁女性的病例,她的右顶叶区域被泰瑟枪 dart 穿透。她神经系统完好,仅有头痛症状。头部CT扫描显示泰瑟枪在颅内穿透且无出血。尝试在镇静状态下于床边无菌取出泰瑟枪。这导致泰瑟枪多处断裂,仅留下颅内部分。她被紧急送往手术室进行颅骨切除术以取出泰瑟枪。在查阅另外两名患者的文献后,我们建议患者不应尝试在床边取出装置,而应被送往手术室进行充分取出和冲洗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/7d5dd1bcb136/jscr-2012-6-10fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/e5c8d637feca/jscr-2012-6-10fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/815a84f3891e/jscr-2012-6-10fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/6b3e6018a929/jscr-2012-6-10fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/7d5dd1bcb136/jscr-2012-6-10fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/e5c8d637feca/jscr-2012-6-10fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/815a84f3891e/jscr-2012-6-10fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/6b3e6018a929/jscr-2012-6-10fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b3/3862189/7d5dd1bcb136/jscr-2012-6-10fig4.jpg

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本文引用的文献

1
Taser and Taser associated injuries: a case series.泰瑟枪及其相关损伤:病例系列
Am Surg. 2008 Sep;74(9):862-5.
2
Intracranial penetration of a TASER dart.泰瑟枪镖的颅内穿透。
Am J Emerg Med. 2007 Jul;25(6):733.e3-4. doi: 10.1016/j.ajem.2006.12.017.
3
Perforating ocular injury by Taser.泰瑟枪致眼部穿通伤
Clin Exp Ophthalmol. 2006 May-Jun;34(4):378-80. doi: 10.1111/j.1442-9071.2006.01228.x.