一例令人印象深刻的单纯性胸部刺伤病例。
An impressive case of isolated thoracic impalement.
作者信息
Hunduma Gabriel, Vilar Alvarez Maria Elena, Kukreja Roy, Veres Lukacs, Tamburrini Alessandro
机构信息
Wessex Cardiothoracic Department, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Anaesthetic Department, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
出版信息
Trauma Case Rep. 2023 Jun 4;46:100868. doi: 10.1016/j.tcr.2023.100868. eCollection 2023 Aug.
CASE
A 61-year-old male construction worker was admitted to our Emergency Department due to being impaled in the chest after fall onto the long pole of his cement mixer. He was promptly scanned through the CT then transferred to theatre where unique technique for intubation was utilised prior to performing a Video Assisted Thoracoscopic Surgery exploration and extraction of the foreign object.
DISCUSSION
Impalement injuries are classified into Types I or II depending on the direction of movement of the human body in relation to the foreign object. There currently is no consensus on the best management of chest wall injuries involving impalements. Our case utilised Video Assisted Thoracoscopic Surgery as the dominant method of intervention together with highly skilled anaesthetic preparation.
CONCLUSION
The combined expert anaesthetic and surgical approach utilised collectively had a role in ensuring the best possible outcome for the patient.
病例
一名61岁的男性建筑工人因摔倒在水泥搅拌机的长杆上而被刺穿胸部，被送往我们的急诊科。他立即接受了CT扫描，然后被转移到手术室，在进行电视辅助胸腔镜手术探查和取出异物之前，采用了独特的插管技术。
讨论
根据人体相对于异物的移动方向，穿刺伤分为I型或II型。目前对于涉及穿刺的胸壁损伤的最佳处理方法尚无共识。我们的病例采用电视辅助胸腔镜手术作为主要干预方法，并进行了高技能的麻醉准备。
结论
联合使用专业的麻醉和手术方法共同作用，有助于确保患者获得最佳治疗效果。
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