一例钢筋穿透头颈部损伤的处理：病例报告及文献复习
Management of a Steel Bar Injury Penetrating the Head and Neck: A Case Report and Review of the Literature.
作者信息
Li Zhenxing, Chen Jigang, Qu Xiaolin, Duan Liwei, Huang Chenguang, Zhang Danfeng, Hou Lijun
机构信息
Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Department of Emergency, Changzheng Hospital, Second Military Medical University, Shanghai, China.
出版信息
World Neurosurg. 2019 Mar;123:168-173. doi: 10.1016/j.wneu.2018.11.029. Epub 2018 Nov 14.
BACKGROUND
Nonmissile penetrating injuries to the head and neck caused by a steel bar are rare, and a standard management strategy is lacking.
CASE DESCRIPTION
A 42-year-old woman sustained a steel bar injury with penetration of the head and neck. Computed tomography and three-dimensional reconstruction were performed for preoperative evaluation. Digital subtraction angiography was performed to confirm potential vascular injury. The steel bar was successfully removed through an open surgical procedure by a multidisciplinary team.
CONCLUSIONS
Relevant literature regarding nonmissile penetrating injuries involving a steel bar was reviewed to propose appropriate management strategies. Comprehensive imaging evaluation and prompt surgery by a multidisciplinary team contributed to the successful removal of the steel bar.
背景
钢筋导致的头颈部非导弹穿透伤较为罕见，且缺乏标准的治疗策略。
病例描述
一名42岁女性遭受钢筋贯穿头颈部损伤。术前行计算机断层扫描及三维重建以进行评估。行数字减影血管造影以确认潜在的血管损伤。一个多学科团队通过开放手术成功取出了钢筋。
结论
回顾了关于钢筋所致非导弹穿透伤的相关文献，以提出适当的治疗策略。综合影像学评估及多学科团队的及时手术有助于成功取出钢筋。
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