Chou N S, Wu M H, Chan C S, Lai W W, Lin M Y
Department of Surgery, National Cheng-Kung University Hospital, Tainan, Taiwan R.O.C.
J Formos Med Assoc. 1994 Nov-Dec;93(11-12):974-6.
Two cases of intrathoracic migration of Kirschner wires are reported. Two wires were used to fix a left clavicle fracture in case 1. Two months later, a chest film showed a broken wire migrating into the mediastinum. A chest computed tomogram revealed the Kirschner wire penetrating into the main pulmonary artery. The broken wire was removed through sternothoracotomy after a pericardiotomy. In case 2, repeated blood-tinged sputum was experienced 5 years and 6 months after Kirschner wire fixation of 2 left clavicle fractures. Chest film showed the migrated wire located in the right thorax. The wire was removed through right thoracotomy. In both cases, the foreign bodies were successfully removed and vascular and pulmonary repair were performed without morbidity.
报告了两例克氏针胸腔内移位的病例。病例1中使用两根克氏针固定左锁骨骨折。两个月后，胸部X线片显示一根折断的克氏针移入纵隔。胸部计算机断层扫描显示克氏针穿透主肺动脉。经心包切开术后，通过胸骨切开术取出折断的克氏针。病例2中，在使用克氏针固定两根左锁骨骨折5年零6个月后，反复出现痰中带血。胸部X线片显示移位的克氏针位于右胸。通过右胸切开术取出克氏针。在这两个病例中，异物均成功取出，并进行了血管和肺部修复，未出现并发症。
