Madden Bryan, Phadtare Mayura, Ayoub Zeina, Chebl Ralphe Bou
Department of Emergency Medicine, Memorial Hermann Hospital, Houston, TX, USA,
Int J Emerg Med. 2015 Dec;8(1):83. doi: 10.1186/s12245-015-0083-2. Epub 2015 Sep 2.
Seat belt use has been associated with decreased life-threatening thoracic injuries. However, there has been an increase in soft-tissue injuries such as breast trauma.
We describe a case of a young healthy female who presented to a community hospital Emergency department without any trauma designation following a motor vehicle accident. The patient was found to have hemorrhagic shock from an intramammary hemorrhage and was treated with blood products and a temporizing external abdominal binder in preparation for a transfer to a level 1 center where she was successfully treated with angiographic embolization.
The objective of this study is to report on a case hemorrhagic shock from a breast hematoma as well as a review of the literature on previous seat belt associated breast trauma and its management in the emergency department.
Seat belt associated breast trauma is uncommon in the emergency medicine literature. However, it can be associated with life threatening intramammary bleeding. Emergency physicians should be aware of these injuries and their proper management.
使用安全带与降低危及生命的胸部损伤有关。然而，软组织损伤如乳房创伤有所增加。
我们描述了一例年轻健康女性的病例，她在机动车事故后前往社区医院急诊科，当时并无任何创伤标识。该患者因乳房内出血导致失血性休克，接受了血液制品治疗，并使用了临时腹部外固定带，为转至一级中心做准备，在一级中心她通过血管造影栓塞术成功得到治疗。
本研究的目的是报告一例因乳房血肿导致失血性休克的病例，并回顾以往关于安全带相关乳房创伤及其在急诊科处理的文献。
安全带相关乳房创伤在急诊医学文献中并不常见。然而，它可能与危及生命的乳房内出血有关。急诊医生应了解这些损伤及其正确处理方法。
