透的胸部创伤是由一个金属条落造成的:一个案例报告
Weidi Zhao1,2, Minghui Chu1,2, Lingzhen Ma1
1Department of Cardiothoracic Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Journal of thoracic disease
|August 10, 2023
概括
穿透的胸部创伤从刺穿物体是罕见的,但危险的. 及时的成像和手术干预,如异物切除和胸管排水,对于患者的生存和康复至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 胸部外科手术 胸部外科手术
背景情况:
- 刺入胸部损伤不常见,经常致命,在初始管理中带来了重大挑战.
- 穿透胸部创伤涉及到一个开放的肺腔,通常有入口/出口伤口和潜在的器官或血管损伤.
- 严重的穿透性胸部创伤通常需要立即进行手术,例如胸切除术或视频辅助胸部手术 (VATS).
研究的目的:
- 描述一种罕见的T形金属棒刺入胸部的治疗方法.
- 为了说明迅速的手术干预在穿透胸部创伤中的重要性.
- 审查目前对严重的穿透性胸部创伤的方法.
主要方法:
- 一名63岁的男性患有T形金属棒刺穿,接受了诊断成像和手术前准备.
- 穿刺物体是通过手术待命的协助手术移除的.
- 通过入口和出口点启动了封闭的胸管排水.
主要成果:
- 患者在术后第14天在良好的条件下出院.
- 三年的随访显示完全康复,没有并发症.
- 该案例表明,在治疗严重的穿透性胸部创伤方面取得了成功.
结论:
- 穿透性非心脏性胸部创伤的稳定患者需要彻底的成像来定位异物并评估损伤.
- 当患者的病情允许时,在理想情况下在视频辅助胸部手术 (VATS) 控制下去除异物体是允许的.
- 外科医生必须根据现有的资源和个体患者的情况来定制治疗策略.
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