Kaur Kiranpreet, Singhal Suresh K, Bhardwaj Mamta, Kumar Prashant
Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Indian J Anaesth. 2014 Nov-Dec;58(6):742-5. doi: 10.4103/0019-5049.147172.
Penetrating abdomino-thoracic injuries are potentially life-threatening due to the associated haemorrhagic shock and visceral injury. The management of these injuries poses specific challenges in pre-hospital care, transport, and management strategies. We report a 35-year-old male having impalement injury of the left thorax and left upper arm with a metallic rod used for construction of the house after a fall from height. One rod penetrated thorax from left shoulder and exit point was present just above the iliac crest and second rod was seen piercing left upper arm. Patient was successfully managed without any intraoperative, post-operative surgical complications, neurological damage or permanent injuries.
穿透性胸腹损伤由于伴有失血性休克和内脏损伤，有潜在的生命危险。这些损伤的处理在院前护理、转运和管理策略方面带来了特殊挑战。我们报告一例35岁男性，从高处坠落，被用于房屋建造的金属杆贯穿左胸和左上臂。一根杆从左肩穿入胸部，穿出点在髂嵴上方，另一根杆可见刺入左上臂。患者成功得到救治，术中、术后均无手术并发症、神经损伤或永久性损伤。
