大锤穿刺伤：一例处理伴有沉重垂物患者挑战的病例报告
Sledge Hammer Impalement: a case report of challenges of managing a patient with a heavy pendant.
作者信息
Ajaero M I, Echieh C P, Onyema C, Nduagu S
机构信息
Department of E.N.T., Federal Medical Centre Owerri, Nigeria.
Division of Cardiothoracic/Vascular Surgery, Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.
出版信息
Int J Surg Case Rep. 2020;71:257-259. doi: 10.1016/j.ijscr.2020.05.026. Epub 2020 May 21.
INTRODUCTION
Impalement injuries are well defined. Transfixion injuries involve impalement and are defined in terms of fixation usually to a large object.
CASE REPORT
We report a spectacular case of sledge hammer impalement in the neck where the patient was transfixed, albeit to a small object, requiring movement of the patient and the transfixing object as a single unit.
DISCUSSION
The patient was fixed to the head of the sledge hammer because he was unable to move with the heavy pendant.
CONCLUSION
We argue that transfixion injuries should be defined in terms of weight of the object in relation to the patient's weight and the ability of the patient to move (with) the impaling object.
引言
贯穿伤有明确的定义。穿刺伤包括贯穿，通常根据与大物体的固定情况来定义。
病例报告
我们报告一例颈部被大锤穿刺的惊人病例，患者被贯穿，尽管是与小物体固定，但需要患者和穿刺物体作为一个整体移动。
讨论
患者因无法移动沉重的垂物而与大锤头部固定在一起。
结论
我们认为，穿刺伤应根据物体重量与患者体重的关系以及患者与穿刺物体一起移动的能力来定义。
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