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颅内穿透性泰瑟枪 dart 损伤。

Intracranial Penetrating Taser Dart Injury.

作者信息

Riba Christopher, Samones Emmelyn, Dukes W Seth

机构信息

Emergency Medicine, Loma Linda University Medical Center, Loma Linda, USA.

出版信息

Cureus. 2025 Jun 30;17(6):e87024. doi: 10.7759/cureus.87024. eCollection 2025 Jun.

DOI:10.7759/cureus.87024
PMID:40741580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12309427/
Abstract

A healthy 52-year-old male presents to the emergency department after being tased and found to have an intracranial penetrating taser dart injury to the left frontal bone. The patient displayed somnolence with disorientation but no focal neurologic deficits on initial evaluation. Radiograph and computed tomography imaging demonstrated taser penetration into the cranial vault without clear evidence of active hemorrhage. Management with neurosurgery was planned; however, the patient eloped before intervention, a decision that could have had severe consequences. The patient later reported that the barb was removed in a nonmedical setting and denied known complications. Tasers can penetrate the skull and intracranial vault, posing risks of hemorrhage and infection. Although the patient reported no medical complications, emergency physicians remain vigilant for such sequelae during patient evaluation.

摘要

一名52岁健康男性在被电击枪击中后被送往急诊科,发现左额骨有一枚颅内穿透性电击枪镖伤。患者最初评估时表现为嗜睡、定向障碍,但无局灶性神经功能缺损。X线片和计算机断层扫描成像显示电击枪镖穿透颅顶,无明显活动性出血迹象。计划进行神经外科治疗;然而,患者在干预前擅自离开,这一决定可能会带来严重后果。患者后来报告说,倒钩在非医疗环境中被取出,否认有已知并发症。电击枪可穿透颅骨和颅顶,带来出血和感染风险。尽管患者报告无医疗并发症,但急诊医生在对患者进行评估时仍需警惕此类后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/0ea211f978b9/cureus-0017-00000087024-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/6634fcb89381/cureus-0017-00000087024-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/6dd30fc675be/cureus-0017-00000087024-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/0ea211f978b9/cureus-0017-00000087024-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/6634fcb89381/cureus-0017-00000087024-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/6dd30fc675be/cureus-0017-00000087024-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7da/12309427/0ea211f978b9/cureus-0017-00000087024-i03.jpg

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本文引用的文献

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Emergency Department Evaluation After Conducted Energy Weapon Use: Review of the Literature for the Clinician.使用导电能量武器后的急诊科评估:临床医生文献综述
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