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穿透性股部创伤:关于其治疗与结果的报告

Penetrating Femoral Trauma: A Report on Its Management and Outcome.

作者信息

Zygogiannis Konstantinos, Kalatzis Dimitrios, Kaoullas Konstantinos, Nikolopoulos Dionisios, Thivaios Georgios C

机构信息

Department of Scoliosis and Spine, KAT General Hospital, Athens, GRC.

Department of Orthopedics and Traumatology, Laiko General Hospital of Athens, Athens, GRC.

出版信息

Cureus. 2024 Oct 3;16(10):e70776. doi: 10.7759/cureus.70776. eCollection 2024 Oct.

DOI:10.7759/cureus.70776
PMID:39493090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11531308/
Abstract

Penetrating trauma of the femur poses significant life-threatening risks due to potential complications, particularly involving the femoral structures such as the femoral artery, femoral vein, and femoral nerve. These injuries can lead to severe outcomes, especially when accompanied by soft tissue damage. Effective management requires a thorough understanding of the injury's nature, including the extent of soft tissue involvement and associated complications. This report presents a case of a 42-year-old male patient with a penetrating femoral injury through the anterior and posterior aspect of the lower limb without associated fracture, which highlights the importance of prompt surgical intervention and the use of flap reconstruction to address complications such as necrotic soft tissue.

摘要

股骨穿透伤由于潜在的并发症,尤其是涉及股动脉、股静脉和股神经等股骨结构,会带来严重的危及生命的风险。这些损伤可能导致严重后果,尤其是伴有软组织损伤时。有效的处理需要全面了解损伤的性质,包括软组织受累程度和相关并发症。本报告介绍了一例42岁男性患者,其下肢前后侧有股骨穿透伤且无相关骨折,该病例突出了及时手术干预以及使用皮瓣重建来处理坏死软组织等并发症的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/bbdfdb20eb3d/cureus-0016-00000070776-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/19cde271c83f/cureus-0016-00000070776-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/41951ed345f7/cureus-0016-00000070776-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/ff5a1edbdd18/cureus-0016-00000070776-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/28132ccbcd0a/cureus-0016-00000070776-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/bbdfdb20eb3d/cureus-0016-00000070776-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/19cde271c83f/cureus-0016-00000070776-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/41951ed345f7/cureus-0016-00000070776-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/ff5a1edbdd18/cureus-0016-00000070776-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/28132ccbcd0a/cureus-0016-00000070776-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e3/11531308/bbdfdb20eb3d/cureus-0016-00000070776-i05.jpg

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本文引用的文献

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Indications for computed tomography angiography in limb trauma.肢体创伤中计算机断层扫描血管造影的适应症。
J Med Imaging Radiat Oncol. 2024 Mar;68(2):126-131. doi: 10.1111/1754-9485.13603. Epub 2023 Nov 20.
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