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经肱骨截肢导致的对侧膈肌损伤:一例罕见病例及文献综述

Contralateral diaphragmatic injury sustained from transhumeral amputation: an unusual case and brief literature review.

作者信息

Marcucci Vincent, Campbell Stuart, Ihionkhan Emmanuel, Shah Ajul, Bauer Thomas, Pratt Abimbola

机构信息

Department of Surgery, Jersey Shore University Medical Center, Neptune, NJ, USA.

School of Medicine, Hackensack Meridian University, Hackensack, NJ, USA.

出版信息

J Surg Case Rep. 2022 Jul 30;2022(7):rjac346. doi: 10.1093/jscr/rjac346. eCollection 2022 Jul.

Abstract

Right-sided diaphragmatic injury is an uncommon sequelae from blunt trauma and may be associated with other severe thoracoabdominal injuries. This injury can be easily missed on initial assessment and a high index of suspicion and clinical judgment is required. Recently, we treated a 25-year-old male inflicted with a right-sided diaphragmatic injury after a left-sided transhumeral amputation sustained from an overturned motor vehicle collision with thoracoscopic exploration and reapproximation.

摘要

右侧膈肌损伤是钝性创伤后罕见的后遗症,可能与其他严重的胸腹联合伤有关。这种损伤在初次评估时很容易被漏诊,需要高度的怀疑指数和临床判断力。最近,我们治疗了一名25岁男性,他在一次翻车事故导致左侧经肱骨截肢后出现右侧膈肌损伤,采用胸腔镜探查和重新缝合进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f06/9341304/a69fdbb64860/rjac346f1.jpg

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