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病例报告:采用Foley导尿管球囊压迫联合介入放射学支架置入术治疗左颈部3区枪伤。

Case report: Zone 3 gunshot wound to the left neck treated with combined Foley catheter balloon tamponade and interventional radiology stent placement.

作者信息

Bjorklund Rebekah L, Fernandez Luis, Spiegel Gary, Wagner Brittany, Eagleton Austin

机构信息

University of Texas Health Science Center at Tyler, TX, United States of America.

Dept. of Surgery, Div. of Trauma Surgery/Surgical Critical Care, The University of Texas Health Science Center, Tyler, TX, United States of America.

出版信息

Trauma Case Rep. 2025 Apr 22;57:101159. doi: 10.1016/j.tcr.2025.101159. eCollection 2025 May.

Abstract

In the trauma and military setting, catheter balloon tamponade has been successfully used as an effective tool for the management of exsanguination secondary to penetrating injuries. This maneuver may improve outcomes in patients with uncontrolled bleeding, particularly in penetrating neck injuries (PNI), thorax, axillae, and groin. We describe a case of a stab wound to the left neck that led to surgical left neck exploration utilizing Foley catheter balloon tamponade (FCBT) for initial control of massive hemorrhage and a subsequent interventional radiology (IR) endovascular stent placement for a zone 3 internal carotid artery injury.

摘要

在创伤和军事环境中,导管球囊填塞已成功用作治疗穿透伤所致大出血的有效工具。这种操作可能会改善出血无法控制的患者的预后,尤其是穿透性颈部损伤(PNI)、胸部、腋窝和腹股沟损伤的患者。我们描述了一例左侧颈部刺伤的病例,该病例通过使用Foley导管球囊填塞(FCBT)对大量出血进行初始控制,并随后对3区颈内动脉损伤进行介入放射学(IR)血管内支架置入术,从而进行了左侧颈部手术探查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ef7/12146870/ac9a45bf7d64/gr1.jpg

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