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高处坠落致胸腰段脊柱损伤后中空器官穿孔

Hollow-organ perforation following thoracolumbar spinal injuries of fall from height.

作者信息

Yudoyono Farid, Dahlan Rully Hanafi, Tjahjono Firman Priguna, Imron Akhmad, Arifin Muhammad Zafrullah

机构信息

Department of Neurosurgery, Faculty of Medicine Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, Indonesia.

Department of Neurosurgery, Faculty of Medicine Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, Indonesia.

出版信息

Int J Surg Case Rep. 2015;11:110-112. doi: 10.1016/j.ijscr.2015.04.035. Epub 2015 May 5.

Abstract

INTRODUCTION

Spinal trauma is the cause of high mortality and morbidity, the fall from height as mechanism that can cause a wide variety of lesions, associated both with the direct impact on the ground and with the deceleration. In such fall cases greater heights and higher mortality are involved.

PRESENTATION OF CASE

We report the successful management of life-threatening hollow-organ perforation following thoracolumbar spinal injury.

DISCUSSION

Perforation of the hollow-organ in the setting of thoracolumbar trauma may delay the diagnosis and can have devastating consequences.

CONCLUSIONS

This case supports the recommendation for neurosurgeon in the setting of thoracolumbar injury that perforation of the hollow-organ can have devastating consequences. It is vital to achieve an early diagnosis to improve survival rate.

摘要

引言

脊柱创伤是导致高死亡率和高发病率的原因,高处坠落作为一种机制,可造成各种各样的损伤,既与地面的直接撞击有关,也与减速有关。在这类坠落案例中,涉及的高度越高,死亡率越高。

病例介绍

我们报告了一例成功处理胸腰段脊柱损伤后危及生命的中空器官穿孔的病例。

讨论

胸腰段创伤情况下中空器官的穿孔可能会延迟诊断,并可能产生毁灭性后果。

结论

本病例支持针对胸腰段损伤时神经外科医生的建议,即中空器官穿孔可能产生毁灭性后果。早期诊断对于提高生存率至关重要。

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