因跌倒在金属（铁）杆上导致的胸腹穿通伤：一例极其罕见且独特的病例。
Impalement Thoracoabdominal Trauma Secondary to Falling on Metallic (Iron) Bars: An Extremely Rare and Unique Case.
作者信息
Kolahdouzan Mohsen, Rezaee Mohammad Taqhi, Shahabi Shahab
机构信息
Department of Surgery, Isfahan University of Medical Sciences and Health Services, Isfahan, IR Iran.
出版信息
Arch Trauma Res. 2016 Jan 23;5(1):e18330. doi: 10.5812/atr.18330. eCollection 2016 Mar.
INTRODUCTION
Penetrating thoracoabdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered.
CASE PRESENTATION
Here we report on a 25-year-old male with penetrating thoracoabdominal injury caused by a metallic (iron) bar projecting from a pillar of a construction site after he fell down from a height.
CONCLUSIONS
Anesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock. Surgical management for extraction of this iron bar and intensive monitoring and resuscitation resulted in an uneventful successful outcome.
引言
穿透性胸腹联合伤因伴有失血性休克和内脏损伤而具有潜在生命危险。贯通性多发伤的穿透伤很少见。
病例报告
在此，我们报告一名25岁男性，他从高处坠落，被建筑工地柱子上伸出的一根金属（铁）棒造成穿透性胸腹联合伤。
结论
由于无法仰卧位及失血性休克进展迅速，麻醉和手术管理困难。手术取出这根铁棒并进行密切监测和复苏，最终获得顺利成功的结果。
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