Yang Xiaokun, Tang Nan, Li Le, Xu Guisen, Dai Juan, Tao Kai, He Chunyang, Huangfu Chaoji
Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China.
School of Nursing, Lanzhou University, Lanzhou, Gansu 730010, P.R. China.
Exp Ther Med. 2022 Jun;23(6):386. doi: 10.3892/etm.2022.11313. Epub 2022 Apr 12.
Abdominal crush injury has been widely reported. However, abdominal crush injury cases involving most of the organ systems have seldom been reported. In the present case report, a 58-year-old man was hit in the abdomen by a 4-ton machine tool. The case described a rare combination of cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation and thrombosis after severe abdominal crush injury. During the treatment, crush syndrome, anemia, electrolyte disorder, pleural effusion, pulmonary emphysema, compartment syndrome, respiratory failure, pulmonary hemorrhage, injury of the right common peroneal nerve and tibial nerve, septum abscess and malnutrition were also observed. Systemic and symptomatic treatments were performed for >3 months, after which the patient was discharged from hospital without any further risk of fatality. The related treatments were also described in detail in the present case report. This case represented one of the most complicated cases among abdominal crush injuries that have been reported, and the treatment experiences reported here will hopefully provide suitable reference points for similar cases.
腹部挤压伤已有广泛报道。然而，涉及大多数器官系统的腹部挤压伤病例却鲜有报道。在本病例报告中，一名58岁男性被一台4吨重的机床击中腹部。该病例描述了严重腹部挤压伤后罕见的心脏骤停、肠缺血坏死、多处骨折、失血性休克、肾衰竭、弥散性血管内凝血和血栓形成的组合。在治疗过程中，还观察到挤压综合征、贫血、电解质紊乱、胸腔积液、肺气肿、骨筋膜室综合征、呼吸衰竭、肺出血、右腓总神经和胫神经损伤、鼻中隔脓肿和营养不良。进行了超过3个月的全身和对症治疗，之后患者出院，不再有任何进一步的死亡风险。本病例报告还详细描述了相关治疗方法。该病例是已报道的腹部挤压伤中最复杂的病例之一，此处报道的治疗经验有望为类似病例提供合适的参考依据。
