Bazzout Asmae, Lachkar Azzeddine, Benfadil Drissia, Tsen Adil Abdenbi, El Ayoubi Fahd, Ghailan Rachid
University Hospital Center Mohamed VI, Oujda, Morocco.
Faculty of Medicine and Pharmacy, Oujda, Morocco.
Ann Med Surg (Lond). 2021 Jan 20;62:197-199. doi: 10.1016/j.amsu.2021.01.035. eCollection 2021 Feb.
The majority of cervical wounds are linked to aggressions and attempted autolysis by knives or firearms.
the story is about a 35 -year-old man admitted to the emergency room for a penetrating cervical wound following an accidental fall in the workplace. The extremely long iron bar (concrete)has penetrated its neck on the right side.upon admission, the patient was conscious,hemodynamically and respiratory stable without sensory-motor deficit.Surgical exploration is urgently decided under general anesthesia, from wich the foreign body is successfully removed.A follow -up examination at 4 months was without particularity.
Penetrating neck injuries caused by objects such as rods or iron bars pose a significantly high risk of serious neurological damage.Penetrating neck injuries can be life-threatening and functional.the extent of the lesions must be assessed precisely before removing the foreign body.
we report an exceptional case of a penetrating neck wound caused by a concrete iron bar.treatment should always be multidisciplinary and giving priority to vital structures and function.
大多数颈部伤口与刀伤或枪伤导致的攻击行为及自伤企图有关。
该病例为一名35岁男性，因在工作场所意外摔倒后颈部穿透伤被送入急诊室。一根极长的铁棒（混凝土用的）从右侧穿透了他的颈部。入院时，患者意识清醒，血流动力学和呼吸稳定，无感觉运动功能障碍。在全身麻醉下紧急决定进行手术探查，成功取出异物。4个月后的随访检查无异常。
由棍棒或铁棒等物体导致的颈部穿透伤造成严重神经损伤的风险极高。颈部穿透伤可能危及生命和功能。在取出异物前必须精确评估损伤程度。
我们报告了一例由混凝土铁棒导致的颈部穿透伤的特殊病例。治疗应始终采用多学科方法，优先考虑重要结构和功能。
