Tatsumi A, Hanaoka S, Yamamoto Y, Nakamura T, Kitamura F, Miyamoto N
Department of Thoracic and Cardiovascular Surgery, Kochi Municipal Hospital, Japan.
Kyobu Geka. 1994 Mar;47(3):242-4.
A case of 60-year-old man with traumatic intrapulmonary foreign body that was not inhaled, but through the chest wall was described. In July 1992 a grass cutter was working in a forestry with a circular saw when he was struck into the right lung. He had a sharp pain in the anterior chest. No abnormality was seen in front of his neck and the chest wall. The next month he developed a cough with bloody sputum. The chest X-ray showed a metallic foreign body at the right side of manubrium. Computed tomogram showed a steel wire fragment lodging beside the innominate artery and vein and in the right lung. Median sternotomy was performed and a foreign body was successfully removed with partial resection of upper lobe.
报道了一例60岁男性创伤性肺内异物病例,该异物并非经吸入进入,而是穿过胸壁进入。1992年7月,一名伐木工手持圆锯在林区作业时,被锯片击中右肺。他前胸剧痛。颈部前方和胸壁未见异常。次月,他出现咳嗽伴血痰。胸部X线显示胸骨柄右侧有一金属异物。计算机断层扫描显示钢丝碎片位于无名动静脉旁及右肺内。行正中胸骨切开术,成功取出异物,并部分切除上叶。