Shi Jia, Mao Yumin, Cao Jiachao, Dong Bo
Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, 213003, China.
BMC Surg. 2017 Jan 10;17(1):3. doi: 10.1186/s12893-016-0195-5.
Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is relatively rare. Because of its rarity, the treatments of such injury are complex and nonstandardized.
We presented a case of a 54-year-old female who was stabbed with a screwdriver in her head and accompanied by loss of consciousness for 1 h. Computer tomography (CT) demonstrated that the screwdriver passed through the right zygomatic bone to posterior cranial fossa. Early foreign body removal and hematoma evacuation were performed and the patient had a good postoperative recovery.
In this study, we discussed the clinical presentation and successful management of such a unique injury caused by a screwdriver. Our goal is to demonstrate certain general management principles which can improve patient outcomes.
穿透性脑损伤（PBI）可由多种物体导致，从刀到筷子不等。然而，被长的电动螺丝刀袭击是一种特殊的意外且相对罕见。由于其罕见性，此类损伤的治疗复杂且不规范。
我们报告了一例54岁女性，其头部被螺丝刀刺伤，伴有1小时的意识丧失。计算机断层扫描（CT）显示螺丝刀从右侧颧骨穿入后颅窝。早期进行了异物取出和血肿清除，患者术后恢复良好。
在本研究中，我们讨论了这种由螺丝刀导致的独特损伤的临床表现及成功的处理方法。我们的目标是展示某些可改善患者预后的一般处理原则。
