急性内科病房中未被察觉的颅内异物。
An unsuspected intracranial foreign body on the acute medical unit.
作者信息
Hull Katherine Leigh, Denton-Beaumont Ruth
机构信息
Cardiovascular Sciences, University of Leicester, Leicester, UK.
Acute Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK.
出版信息
BMJ Case Rep. 2019 Jul 15;12(7):e230010. doi: 10.1136/bcr-2019-230010.
A 54-year-old man was referred to the acute medical unit with a suspected stroke after presenting to his general practitioner with altered speech, left sided facial droop and confusion. The patient had a new right sided swelling on the lateral aspect of his head but did not report any history of trauma. Imaging revealed a 9.2 cm nail entering via the right parietal bone with associated acute haemorrhage. After further discussion with the patient, he disclosed a suicide attempt with a nail gun 5 days prior to presentation. The nail was successfully removed by the neurosurgical team and the patient received rehabilitation and psychiatric assessment on the brain injury unit before going home.
一名54岁男性因言语改变、左侧面部下垂和意识模糊前往全科医生处就诊，后被转诊至急性医疗单元，怀疑患有中风。患者头部外侧出现新的右侧肿胀，但未报告任何外伤史。影像学检查显示一枚9.2厘米的钉子经右顶骨进入，伴有急性出血。在与患者进一步交谈后，他透露在就诊前5天曾用射钉枪自杀未遂。神经外科团队成功取出了钉子，患者在回家前在脑损伤科接受了康复治疗和精神评估。
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