Driessen A, Tjardes T, Eikermann C, Trojan S, Fröhlich M, Grimaldi G, Kosse N
Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln Merheim, Kliniken der Stadt Köln gGmbH, Universität Witten/Herdecke, Witten/Herdecke, Deutschland.
Klinik für Orthopädie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
Unfallchirurg. 2016 Jul;119(7):604-8. doi: 10.1007/s00113-016-0197-x.
We report the case of a 24-year-old female after sustaining a shotgun wound in the left upper extremity and chest. Initial emergency diagnostics revealed numerous shotgun pellets scattered throughout the left-side soft tissue, chest and upper lung lobe with one pellet having migrated into the left ventricle of the heart.Due to the devastating injury pattern, gunshot wounds are interdisciplinarily challenging and should include extended initial diagnostics, such as contrast agent CT. The potential toxicity of elevated lead blood levels have to be taken into further account.
我们报告了一例24岁女性，其左上肢体和胸部遭受猎枪伤。初步急诊诊断显示，大量猎枪子弹散布在左侧软组织、胸部和上肺叶，其中一枚子弹已移入心脏左心室。由于损伤模式严重，枪伤在跨学科方面具有挑战性，初始诊断应包括扩展检查，如造影剂CT。必须进一步考虑血铅水平升高带来的潜在毒性。
