会阴被铁棒穿刺伤且损伤极小：一次险些发生的严重事故：一例病例报告
Impalement injury of the perineum with an iron rod with a minimal injury: A near miss: A case report.
作者信息
Shrestha Bibek Man, Koirala Dinesh Prasad, Shrestha Suraj, Kharel Sanjeev, Lamichane Shankar Raj, Dahal Geha Raj
机构信息
Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
出版信息
Int J Surg Case Rep. 2021 Mar;80:105645. doi: 10.1016/j.ijscr.2021.105645. Epub 2021 Feb 11.
INTRODUCTION AND IMPORTANCE
Penetrating perineal injury in children is uncommon. However, the injury is serious and life-threatening with significant morbidity and mortality.
CASE PRESENTATION
We report an unusual case of a 13-year-old boy with an accidental perineal impalement injury by an iron rod, which pierced through the perineum and exited through the left loin, however with minimal external and internal injuries.
CLINICAL DISCUSSION
Multiple vital organs in the pelvic space are vulnerable to damage in perineal impalement injury. Vital organ injury, amount of blood loss, and effectiveness of the resuscitation determine the outcome of an impalement injury. Urgent laparotomy forms the cornerstone in management as all the potential injuries can be identified and managed immediately.
CONCLUSION
Effective resuscitation and accurate assessment of the associated injuries along with proper pre-hospital care with a multidisciplinary approach is crucial for the survival and optimum outcome of the victim.
引言与重要性
儿童穿透性会阴损伤并不常见。然而，这种损伤很严重，会危及生命，具有显著的发病率和死亡率。
病例介绍
我们报告一例不同寻常的病例，一名13岁男孩意外被铁棒贯穿会阴，铁棒从会阴刺入并从左腰部穿出，但体表和体内损伤均极小。
临床讨论
盆腔内的多个重要器官在会阴贯穿伤中易受损。重要器官损伤、失血量以及复苏效果决定了贯穿伤的预后。紧急剖腹手术是治疗的基石，因为所有潜在损伤都能立即被识别并处理。
结论
有效的复苏、对相关损伤的准确评估以及多学科方法的恰当院前护理对于受害者的存活和最佳预后至关重要。
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