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断刀刀片完全穿透肱骨:一例报告及文献综述

Broken Knife Blade Completely Penetrating the Humerus: A Case Report and Literature Review.

作者信息

Gonzalez-Urquijo Mauricio, Zambrano-La Mario

机构信息

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000 . Monterrey, México. 64710.

D epartamento de Cirugía General. Hospital Metropolitano "Dr. Bernando Sepúlveda". Adolfo López Mateos No. 4600, San Nicolás de los Garza, Nuevo León, México. 66400.

出版信息

Bull Emerg Trauma. 2020 Jul;8(3):202-204. doi: 10.30476/BEAT.2020.85769.

Abstract

We present a case of a 23-year-old male patient who presented with a blade knife completely wedged and penetrated on his humerus after a stab wound to his left upper extremity. On palpation, a foreign body was palpated under the skin on the deltoid area. The blade was stuck in the bone, so the surrounding bone tissue was osteotomised until the blade was released. The patient evolved favorably, and at three months follow up, he has a full functional recovery of his arm. Stab wounds are prevalent in emergency departments; however, stab wounds with bone involvement have rarely been reported in the literature. When encountering a blade stuck in bone tissue, removing the blade while avoiding orthopedic, neurological and vascular injuries should be the main goal of the treatment. To the best of our knowledge, this is the third reported case of an intraosseous foreign body in the humerus secondary to a stab wound.

摘要

我们报告一例23岁男性患者,其左上肢被刺伤后,一把刀片完全楔入并穿透肱骨。触诊时,在三角肌区域的皮下摸到一个异物。刀片卡在骨头里,因此将周围的骨组织进行截骨,直到刀片被取出。患者恢复良好,在三个月的随访中,其手臂功能完全恢复。刺伤在急诊科很常见;然而,文献中很少报道涉及骨头的刺伤。当遇到刀片卡在骨组织中时,在避免骨科、神经和血管损伤的同时取出刀片应是治疗的主要目标。据我们所知,这是第三例因刺伤导致肱骨骨内异物的报道病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da75/7468222/938ce1dfb64a/bet-8-202-g001.jpg

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