Department of Neurosurgery, Shandong Provincial Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University.
Department of Neurosurgery, The First Affiliated Hospital of Shandong First Medical University.
J Craniofac Surg. 2022 Jun 1;33(4):e365-e368. doi: 10.1097/SCS.0000000000008194. Epub 2021 Sep 21.
Non-missile penetrating injuries caused by foreign bodies, such as knives or sharp wood, are infrequent. We report a 49-year-old male suffering from severe craniocervical penetrating injury by a steel bar was successfully treated by surgery.
The male patient was a 49-year-old builder. Although working on the construction site, an approximately 60 cm steel bar penetrated the patient's brain vertically through the left top of the head presenting with unconsciousness and intermittent irritability.
Computed tomography of the head showed the entrance and exit of the skull damaged by the steel bar. Three-dimensional reconstruction showed that the steel bar entered the skull from the posterior left coronal suture and penetrated the ipsilateral occipital bone, about 5 cm into the neck soft tissue.
We successfully performed the operation and removed the steel bar.
The patient was followed up for 5 years; muscle strength returned to normal.
Penetrating injuries caused by steel bars are rare, which always cause severe intracranial injury combined with peripheral tissue injury, by sharing our experience in the treatment of this rare case, we hope to provide a reference for similar injuries in the future.
由异物（如刀或尖锐的木头）造成的非穿透性颅脑损伤并不常见。我们报告了一例 49 岁男性因钢棒严重颅颈贯通伤成功接受手术治疗的病例。
男性患者为 49 岁建筑工人。在工地上工作时，一根约 60 厘米长的钢棒从头顶左侧垂直刺穿患者头部，导致其昏迷并间歇性烦躁。
头部 CT 显示颅骨被钢棒损伤的入口和出口。三维重建显示，钢棒从后左冠状缝进入颅骨，并穿透同侧枕骨，进入颈部软组织约 5 厘米。
我们成功进行了手术并取出了钢棒。
患者随访 5 年；肌力恢复正常。
由钢棒引起的穿透性损伤很少见，通常会导致严重的颅内损伤合并周围组织损伤。通过分享我们对这例罕见病例的治疗经验，希望为未来类似损伤提供参考。
