Mashayekhi Kiarash, Waheed Abdul, Kennedy Frank R
Trauma, San Joaquin General Hospital, French Camp, USA.
Surgery, San Jaoquin General Hospital, French Camp, USA.
Cureus. 2021 Oct 25;13(10):e19033. doi: 10.7759/cureus.19033. eCollection 2021 Oct.
Severe thoracic injury secondary to penetrating trauma requires prompt resources and rapid decision-making by trauma centers and teams. Implementing trauma systems has significantly impacted medical and critical care quality and outcomes, including managing rare trauma injuries. We describe a report of a rare case of a 21-year-old man with a gunshot wound to the chest with injuries to the right pulmonary hilum requiring pneumonectomy and to the left atrium with bullet embolism to the right common iliac artery. In addition, the systematic approach where each phase of the individual's treatment -- prehospital, emergency room, running room, and intensive care -- was positively affected by the implementation, development, and progressive maturation of a trauma system is also explained.
穿透性创伤继发的严重胸部损伤需要创伤中心和团队迅速调配资源并快速做出决策。实施创伤系统已对医疗和重症护理质量及结果产生了重大影响，包括处理罕见的创伤性损伤。我们报告了一例罕见病例，一名21岁男性胸部枪伤，右肺门受伤需行肺切除术，左心房受伤且子弹栓塞至右髂总动脉。此外，还解释了创伤系统的实施、发展和逐步成熟对患者治疗各个阶段——院前、急诊室、手术室和重症监护——均产生积极影响的系统方法。
