Qazi Mashhood U, AlEissaee Rouda R, Mubarak Mohamed Al Dhaheri Hind S, Mohammed Aboelmaaty Soheir A
Emergency Department, Tawam Hospital and Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, ARE.
Emergency Department, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, ARE.
Cureus. 2025 Feb 23;17(2):e79520. doi: 10.7759/cureus.79520. eCollection 2025 Feb.
A young male patient was brought to the Emergency Department after falling from a moving car. It was noted that he had a left scalp hematoma with a deformed right upper limb. Computer tomography of the head, cervical spine, thoracic and lumbar spine, thorax, abdomen, and pelvis was performed. The CT scan showed multiple cervical spine fractures, a fracture of the first rib with localized pneumothorax, and multiple lung contusions. There was also a fracture of the right humerus. CT angiography showed evidence of a complete cutoff of the right axillary artery at its origin in the axilla, which was compressed by a hematoma. He was immediately taken for emergency surgery by the trauma team and underwent right subclavian artery grafting by the vascular surgical team. The plastic surgery team performed a right forearm fasciotomy and right brachial plexus repair. The orthopedic team applied an external fixator to the right humerus. During his hospital stay, the patient developed severe sepsis presumed to be due to pneumonia, and was treated with piperacillin-tazobactam along with vancomycin. He was discharged after a hospital stay to a long-term facility for continued physiotherapy.
一名年轻男性患者在从行驶的汽车上坠落后来到急诊科。注意到他有左侧头皮血肿，右上肢畸形。对头、颈椎、胸椎和腰椎、胸部、腹部及骨盆进行了计算机断层扫描。CT扫描显示多处颈椎骨折、第一肋骨骨折伴局限性气胸以及多处肺挫伤。还有右肱骨骨折。CT血管造影显示右腋动脉在腋窝起始处被血肿压迫而完全中断。创伤团队立即将他送往急诊手术，血管外科团队为其进行了右锁骨下动脉移植术。整形外科团队进行了右前臂筋膜切开术和右臂丛神经修复术。骨科团队对右肱骨应用了外固定架。在住院期间，患者发生了疑似由肺炎引起的严重脓毒症，接受了哌拉西林 - 他唑巴坦联合万古霉素治疗。住院一段时间后，他被转至长期护理机构继续进行物理治疗。
