锁骨骨折手术后两根克氏针经气管内迁移。
Intratracheal migration of two Kirschner wires after surgery for a clavicle fracture.
机构信息
Department of Thoracic Surgery, CHU Hassan II, Fez, Morocco.
Department of Anesthesiology and Intensive Care A4, CHU Hassan II, Fez, Morocco.
出版信息
Asian Cardiovasc Thorac Ann. 2021 Jun;29(5):428-430. doi: 10.1177/0218492320987933. Epub 2021 Jan 7.
Kirschner wire is frequently used in orthopedic surgery, and migration is not exceptional. Intrathoracic migration is well-known, especially after surgery on the shoulder girdle, however, intratracheal migration is extremely rare. We describe a case of intratracheal migration of two Kirschner wires in a 41-year-old man who had them placed two years previously for a right clavicle fracture. He experienced chest pain followed by hemoptysis. Thoracic computed tomography revealed intratracheal migration. Remove of the Kirschner wires was performed by a cervical-sternotomy approach. Prompt removal of migrated Kirschner wires must be carried out urgently to avoid fatal complications.
克氏针在骨科手术中经常使用，发生迁移并不罕见。胸内迁移是众所周知的，特别是在肩部手术后，但气管内迁移极为罕见。我们描述了一例 41 岁男性患者的气管内迁移病例，他两年前因右锁骨骨折而接受了克氏针固定。他经历了胸痛，随后出现咯血。胸部计算机断层扫描显示气管内迁移。克氏针通过颈胸骨切开术取出。必须紧急取出迁移的克氏针，以避免致命并发症。
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