Maeda Yasuaki, Nitta Kenichi, Kamijo Hiroshi, Takayama Hiroshi, Imamura Hiroshi
Department of Emergency and Critical Care Medicine, Shinshu University Hospital, Matsumoto, JPN.
Cureus. 2024 Dec 29;16(12):e76590. doi: 10.7759/cureus.76590. eCollection 2024 Dec.
Retained needles are rarely observed in multiple locations. Furthermore, although case reports on retained needles have been published, there are no standardized guidelines for managing retained needles. A 42-year-old man with schizophrenia was referred to our hospital for intensive care because of a pericardial effusion and 12 needles from needle pricks being retained in both his chest and abdomen. First, he underwent emergency pericardial drainage. Thereafter, he underwent surgeries to remove a needle from the pericardium on day 7, abdominal needles on day 14, and intrapulmonary needles on day 30. He was transferred to a psychiatric ward on day 36 after it was confirmed that no needles remained in the body. We report a case of multiple needles being retained in multiple locations due to self-injury caused by schizophrenia. Future guidelines are needed to help clinicians manage patients with retained needles.
多部位滞留针极为罕见。此外，尽管已有关于滞留针的病例报告发表，但对于处理滞留针尚无标准化指南。一名42岁的精神分裂症男性因心包积液及胸部和腹部有12根针刺所致的滞留针而被转诊至我院进行重症监护。首先，他接受了紧急心包引流。此后，他在第7天接受了从心包取出一根针的手术，第14天取出腹部的针，第30天取出肺内的针。在确认体内无针残留后，他于第36天被转至精神科病房。我们报告一例因精神分裂症导致自我伤害而在多个部位滞留多根针的病例。未来需要制定指南以帮助临床医生处理滞留针患者。
