Sykes L N, Cowgill F
Department of Surgery, University of Maryland Medical System, Baltimore 21201.
Ann Emerg Med. 1989 Sep;18(9):995-6. doi: 10.1016/s0196-0644(89)80468-8.
A 23-year-old man was assaulted about the head and face with a wrench, sustaining multiple severe scalp lacerations. Massive bleeding from the lacerations ensued, resulting in refractory hypovolemic shock. Emergency department control of this hemorrhage was accomplished by the application of Raney clips to the edges of the scalp lacerations. Following stabilization and radiologic studies, the patient was admitted to the ICU, where his scalp wounds were managed definitively. The remainder of his hospital course was unremarkable, and he was discharged on the third hospital day to be followed in the surgical clinic as an outpatient.
一名23岁男子被人用扳手击打头部和面部，造成多处严重头皮裂伤。裂伤导致大量出血，进而引发难治性低血容量性休克。通过在头皮裂伤边缘应用雷尼夹实现了急诊科对出血的控制。在病情稳定并完成放射学检查后，患者被收入重症监护病房，在那里对其头皮伤口进行了最终处理。他住院的其余过程并无异常，于住院第三天出院，随后作为门诊患者在外科诊所接受随访。
