Department of Trauma, King Saud Medical City, Riyadh, Saudi Arabia.
Department of Surgery, King Saud University, Riyadh, Saudi Arabia.
Pan Afr Med J. 2022 Jun 14;42:117. doi: 10.11604/pamj.2022.42.117.32980. eCollection 2022.
We describe a rare life-saving case of penetrating subclavian vessel injury that was managed successfully at King Saud Medical City, a major trauma center in Riyadh, Saudi Arabia. The patient was a healthy 21-year-old Saudi male who was presented initially at Al-Aflaj Hospital, 300 km away from King Saud Medical City, following a stab with a knife to the left side of his lower neck. He was transferred to King Saud Medical City for definitive surgical management after having temporary bleeding control at Al-Aflaj Hospital. The patient was successfully managed with a median sternotomy, left supraclavicular extension, and clavicular division. Hemostasis was achieved by ligating the injured subclavian vessels in a situation of extremes to save a life. His postoperative course was uneventful. He was discharged on the eleventh postoperative day with an intact neurovascular condition of the left upper limb.
我们描述了一个罕见的救命案例，一位 21 岁的沙特男性在沙特阿拉伯利雅得的一家主要创伤中心——沙特国王医疗城成功治疗了穿透性锁骨下血管损伤。该患者最初在距离沙特国王医疗城 300 公里的 Al-Aflaj 医院就诊，因左侧下颈部被刀刺伤。在 Al-Aflaj 医院进行了临时止血后，他被转至沙特国王医疗城进行确定性手术治疗。通过正中胸骨切开术、左锁骨上延伸和锁骨切开术，成功地对患者进行了治疗。在这种极端情况下，通过结扎受伤的锁骨下血管来实现止血，从而挽救了生命。他的术后过程顺利。他在第 11 天术后出院，左侧上肢的神经血管状况完好。
