Department of General Surgery, University of South Florida, USA.
Morsani College of Medicine, University of South Florida, USA.
Am Surg. 2023 Apr;89(4):1138-1140. doi: 10.1177/0003134820971575. Epub 2022 Apr 21.
The leading cause of morbidity and mortality in the pediatric population is unintentional injury. Emergent thoracotomies are rarely performed in pediatric patients, especially in the very young pediatric population. We present a case of a 10-year-old male who survived emergent clamshell thoracotomy for penetrating chest trauma.
Our patient sustained aortic lacerations after being shot with an air-powered rifle. Thoracotomy was performed in the emergency department. The incision was extended to a clamshell thoracotomy for repair of the aortic lacerations. He survived and made a full recovery.
This case is one of the youngest reported survivors of an emergent thoracotomy. Air-powered gun injuries can be life-threatening despite their perception as safe toys for children. Surprisingly, there is very little regulation on sale of air guns to minors in the United States. Increased public awareness and regulation of sale may prevent unintentional injury in this population.
在儿科人群中，发病率和死亡率的主要原因是意外伤害。在儿科患者中，尤其是在非常年幼的儿科人群中，很少进行紧急开胸手术。我们报告了一例 10 岁男性因穿透性胸部创伤接受紧急开胸术（贝壳式开胸术）存活的病例。
我们的患者在被气枪射击后发生主动脉裂伤。在急诊科进行了开胸手术。切口延长至贝壳式开胸术，以修复主动脉裂伤。他幸存下来并完全康复。
这是报告的年龄最小的紧急开胸术存活者之一。尽管空气枪被认为是儿童安全的玩具，但它们造成的伤害可能是致命的。令人惊讶的是，美国对未成年人销售气枪的规定很少。增加公众意识和销售监管可能会防止这一人群发生意外伤害。
