胸部贯穿伤的处理
Management of chest impalement injury.
作者信息
Bergaminelli Carlo, Salvi Rosario, Mattiacci Dario Maria, Messina Giovanni, Cicalese Marcellino, Curcio Carlo, Buono Salvatore, Corcione Antonio, Rispoli Marco
机构信息
Monaldi Hospital - Thoracic Surgery, Italy.
Monaldi Hospital - Anesthesia and ICU, Italy.
出版信息
Int J Surg Case Rep. 2019;61:123-126. doi: 10.1016/j.ijscr.2019.07.043. Epub 2019 Jul 23.
PRESENTATION OF CASE
We will describe the case of a man who impaled himself on a greenhouse pole by falling off a ladder.
DISCUSSION
The belated radiological exclusion of any spine and neck lesions forced the surgeons to operate with the patient supine and on a spine board, which prevented them from performing the classic thoracotomy and reaching the entry hole in the right scapula area.
CONCLUSION
A double thoracotomy and the expedient of a haemostatic plug, positioned simultaneously with the extraction of the pole, allowed to control bleeding with absolute safety margins.
病例介绍
我们将描述一名男子从梯子上摔下，被温室的杆子刺穿身体的病例。
讨论
因延迟进行放射检查以排除任何脊柱和颈部损伤，外科医生不得不让患者仰卧在脊柱板上进行手术，这使得他们无法进行经典的开胸手术并到达右肩胛骨区域的刺入孔。
结论
双开胸手术以及在拔出杆子的同时放置止血塞的方法，得以在绝对安全的情况下控制出血。
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