胸部穿透性枪伤，经支气管镜取出子弹。

Penetrating bullet wound of chest with bronchoscopic removal of bullet.

作者信息

Choh J H, Adler R H

出版信息

J Thorac Cardiovasc Surg. 1981 Jul;82(1):150-3.

Abstract

A case history is presented of a patient with a penetrating bullet wound of the chest in whom the 0.38 caliber bullet was unexpectedly found entirely within the lumen of the right lower lobe bronchus at bronchoscopy. A second bullet penetrating the abdomen necessitated an extensive abdominal operation and delayed removal of the intrabronchial bullet by 1 day. During the 1 day interval, distal migration of the intrabronchial bullet caused technical problems in removal which are discussed. The bullet was successfully removed with a rigid bronchoscope without subsequent complications. The limited literature on this rare occurrence is reviewed, and suggestions are made concerning management.

摘要

本文报告一例胸部穿透性枪伤患者的病例。在支气管镜检查时，意外发现一枚0.38口径的子弹完全位于右下叶支气管腔内。另一枚穿透腹部的子弹需要进行广泛的腹部手术，支气管内子弹的取出因此推迟了1天。在这1天的间隔期间，支气管内子弹向远端移位，导致取出时出现技术问题，本文对此进行了讨论。最终用硬支气管镜成功取出子弹，术后无并发症。本文回顾了关于这种罕见情况的有限文献，并就处理方法提出了建议。