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取出胸腔内克氏针的有趣病例。

Interesting case of retrieval of intrathoracic Kirschner wire.

作者信息

Gopalakrishnan Mundayat, Naik Amithkiran, Kamath Manjunath, Antao Rochelle

机构信息

Division of cardiothoracic and vascular surgery, KS Hegde Medical Academy, Deralakatte, Mangalore, 575018 India.

Division of cardiac anaesthesiology, KS Hegde Medical Academy, Deralakatte, Mangalore, 575018 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2018 Jul;34(3):384-387. doi: 10.1007/s12055-017-0586-y. Epub 2017 Aug 29.

DOI:10.1007/s12055-017-0586-y
PMID:33060897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7523600/
Abstract

Kirschner wires are used in orthopedic surgery for fixation of fractures. We have recently treated a patient who presented with intrathoracic migration of a sharp Kirschner wire which was used for fixing acromioclavicular fracture. She underwent successful thoracotomy with retrieval of the wire from the right upper lobe. Close follow- up and early detection will allow successful treatment of this dangerous complication.

摘要

克氏针在骨科手术中用于固定骨折。我们最近治疗了一名患者，该患者出现了用于固定肩锁关节骨折的尖锐克氏针在胸腔内移位的情况。她接受了成功的开胸手术，并从右上叶取出了克氏针。密切随访和早期发现将有助于成功治疗这种危险的并发症。

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引用本文的文献

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How can osteosynthesis material used for fracture fixation undergo intrathoracic migration?-a systematic literature review.用于骨折固定的骨合成材料如何发生胸内迁移？——一项系统的文献综述
J Thorac Dis. 2024 Nov 30;16(11):8068-8087. doi: 10.21037/jtd-24-943. Epub 2024 Nov 29.

本文引用的文献

1
Intrathoracic migration of Steinman wire.斯氏针的胸腔内移位
Interact Cardiovasc Thorac Surg. 2003 Jun;2(2):210-1. doi: 10.1016/S1569-9293(03)00047-1.
2
Successful treatment of a patient with penetrating injury of the esophagus and brachiocephalic artery due to migration of Kirschner wires.成功治疗因克氏针移位导致食管和头臂动脉穿透伤的患者。
Ann Thorac Cardiovasc Surg. 2005 Oct;11(5):313-5.
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Intrathoracic migration of a Kirschner wire.克氏针的胸腔内移位
J R Soc Med. 2002 Apr;95(4):198-9. doi: 10.1177/014107680209500409.
4
The migration of a broken pin following fixation of the acromioclavicular joint. A case report and review of the literature.肩锁关节固定后折断钢针的移位。1例病例报告及文献复习。
Orthopedics. 1986 Mar;9(3):413-6. doi: 10.3928/0147-7447-19860301-16.
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Cardiac perforation after Kirschner wire migration.克氏针移位后心脏穿孔
Acta Chir Belg. 1989 Nov-Dec;89(6):309-11.
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Unusual migration of a Kirschner wire.
Eur J Cardiothorac Surg. 1991;5(3):164. doi: 10.1016/1010-7940(91)90216-7.