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穿透性纵隔创伤后的奇迹般康复

Miraculous Recovery After Penetrating Trauma to the Mediastinum.

作者信息

Mao Allen, Rana Hunaid N, Brackett William Janika, Figarola Suzy, McQuiston Samuel

机构信息

Radiology, University of South Alabama College of Medicine/USA Health University Hospital, Mobile, USA.

Radiology, USA Health University Hospital, Mobile, USA.

出版信息

Cureus. 2020 Oct 23;12(10):e11106. doi: 10.7759/cureus.11106.

DOI:10.7759/cureus.11106
PMID:33240702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7682545/
Abstract

Traumatic injury to the mediastinum can damage critical surrounding structures, including the pericardium, aorta, and bronchial tree. We highlight a miraculous case of a 13-year-old female with no past medical history who presented to the emergency department after being impaled in the chest by a metal fence post. After median sternotomy, the foreign object was removed, and the patient fortunately recovered with no permanent sequelae. The radiographic features of the injury are described, and potential unseen cardiovascular and respiratory complications are discussed.

摘要

纵隔创伤可损伤周围关键结构,包括心包、主动脉和支气管树。我们重点介绍一例奇迹般的病例,一名13岁无既往病史的女性,被金属围栏桩刺入胸部后被送往急诊科。经正中胸骨切开术后,取出异物,患者幸运康复,无永久性后遗症。描述了损伤的影像学特征,并讨论了潜在的隐匿性心血管和呼吸并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/7e522c42a9a8/cureus-0012-00000011106-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/65cb89b39a3e/cureus-0012-00000011106-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/fccdd3e29b8a/cureus-0012-00000011106-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/7e522c42a9a8/cureus-0012-00000011106-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/65cb89b39a3e/cureus-0012-00000011106-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/fccdd3e29b8a/cureus-0012-00000011106-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1702/7682545/7e522c42a9a8/cureus-0012-00000011106-i03.jpg

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本文引用的文献

1
Echocardiographic Evaluation of Pericardial Effusion and Cardiac Tamponade.心包积液与心脏压塞的超声心动图评估
Front Pediatr. 2017 Apr 24;5:79. doi: 10.3389/fped.2017.00079. eCollection 2017.
2
Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report.钝性胸部创伤中的大量气胸:稳定患者是否总是需要胸腔引流?一例病例报告。
Int J Surg Case Rep. 2016;24:88-90. doi: 10.1016/j.ijscr.2016.05.019. Epub 2016 May 19.
3
Pneumomediastinum.纵隔气肿。
J Thorac Dis. 2015 Feb;7(Suppl 1):S44-9. doi: 10.3978/j.issn.2072-1439.2015.01.11.
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Pneumomediastinum in blunt chest trauma: a case report and review of the literature.钝性胸部创伤所致纵隔气肿:一例病例报告及文献综述
Case Rep Emerg Med. 2014;2014:685381. doi: 10.1155/2014/685381. Epub 2014 Jul 9.
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Cardiac tamponade as a presenting manifestation of severe hypothyroidism.心脏压塞作为严重甲状腺功能减退症的首发表现。
BMJ Case Rep. 2013 Feb 5;2013:bcr2012005281. doi: 10.1136/bcr-12-2011-5281.
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Imaging findings in cardiac tamponade with emphasis on CT.心脏压塞的影像学表现,重点为CT
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