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儿童因枪伤导致异物经胸迁移至膈肌及其处理:一例病例报告

Transthoracic Migration of a Foreign Body into the Diaphragm from the Gunshot Injury and Its Management in a Child: A Case Report.

作者信息

Dantis Klein, Mehsare Pranay Suresh, Singha Subrata Kumar, Gupta Nilesh

机构信息

Department of Cardiothoracic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Department of Anesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

出版信息

Surg J (N Y). 2022 Sep 2;8(3):e224-e226. doi: 10.1055/s-0042-1756198. eCollection 2022 Jul.

Abstract

Intrapleural foreign bodies (FB) are rare and uncommon, while diaphragmatic FB secondary to gunshot injury in a child is still rarer. We now describe a 9-year-old male with a history of self-inflicted accidental air gun injury on the right side of the midline of the sternum with transthoracic migration of FB-lead bullet-measuring 1cm x1.4cm into the diaphragm managed initially with intercostal tube drainage for right hemopneumothorax at the different center underwent thoracoscopy followed by minithoracotomy and retrieval under C-arm guidance that has not been reported in the literature.

摘要

胸腔内异物很少见,而儿童因枪伤导致的膈肌异物则更为罕见。我们现在描述一名9岁男性,他有自伤史,意外被气枪击中胸骨中线右侧,异物(一枚1厘米×1.4厘米的铅弹)经胸腔迁移至膈肌。最初在不同中心因右侧血气胸接受肋间引流管治疗,随后接受胸腔镜检查,接着进行小切口开胸手术,并在C形臂引导下取出异物,这在文献中尚未有报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ac6/9439876/51cc5f1d53a6/10-1055-s-0042-1756198-itsj-22-00010-cr-1.jpg

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