Menon Sanjana Vijayan, Ponen Kreyen, Williams Aman Berry
Bond University, Robina, Australia.
The University of Queensland, Brisbane, Australia.
BJR Case Rep. 2023 Sep 11;9(5):20220104. doi: 10.1259/bjrcr.20220104. eCollection 2023 Oct.
Penetrating neck injuries constitute a relatively rare subset of trauma, which unfortunately carries with it significant morbidity and mortality. In the Emergency Department (ED), rapid clinical decompensation related to haemorrhagic, obstructive or mixed damage to major vessels and airways is typically the primary culprit, which is compounded even further by any intrathoracic involvement. Even rarer, however, is to sustain such an injury with no haemodynamic compromise and follow through with an uneventful clinical course. Here we present a remarkable case of a dirt-bike accident which left a male impaled by a tree branch, and the swift clinical conduct along with the fortuitous variation in his anatomy that saved his life.
颈部穿透伤是创伤中相对罕见的一类，不幸的是，它会带来较高的发病率和死亡率。在急诊科（ED），与大血管和气道的出血、梗阻或混合性损伤相关的快速临床失代偿通常是主要原因，而任何胸腔内的累及会使情况更加复杂。然而，更罕见的是在没有血流动力学不稳定的情况下遭受此类损伤，并经历平稳的临床过程。在此，我们展示一例非凡的病例，一名男性因骑越野摩托车事故被树枝刺穿，以及迅速的临床处理和其解剖结构的偶然变异如何挽救了他的生命。
