周围刺延伸通过铁杆通过多个空洞从高架下跌后:案例报告
Edilson Araujo Sabino1, João Arthur Borges da Silva2, Guilherme Pasquini Cavassin1
1Complexo Hospitalar do Trabalhador, Avenida República Argentina, 4406 - Novo Mundo, Curitiba, PR 81050-000, Brazil.
International journal of surgery case reports
|May 30, 2024
概括
围刺是严重的伤害,需要立即的多学科护理. 迅速的手术干预,包括在直接可视化下移除物体,对于生存和管理相关器官损伤至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 手术重症监护手术重症监护
- 紧急医疗 紧急医疗
背景情况:
- 周围刺,虽然很少见,但由于穿透创伤造成的患病和死亡风险很大.
- 这些伤害往往是由跌倒或袭击造成的,带有高水平的骨盆出血风险,需要紧急干预.
- 周围刺的复杂性要求采取协调,多学科的方法,以获得最佳的患者结果.
研究的目的:
- 为了呈现一个在跌倒后经历了广泛的围刺伤的案例.
- 突出这些严重伤害的关键管理步骤.
- 强调结构化方法在改善患者治疗结果方面的重要性.
主要方法:
- 一名57岁的男性经历了5米的跌倒后,经历了广泛的周围刺.
- 先进的创伤生命支持 (ATLS) 协议和全身计算机断层扫描 (WBCT) 被用于评估.
- 外科干预包括腹腔切除,骨切除,在直接可视化下移除物体,以及修复多个器官损伤.
主要成果:
- 金属物体穿过腹部,腹部和胸部.
- 手术修复解决了前列腺,膀,肝脏和腹膜损伤.
- 患者需要输血和术后泌尿学随访.
结论:
- 周围刺需要立即,综合管理.
- 术前成像 (断层扫描) 和在移除物体期间直接可视化是至关重要的.
- 综合性的外科管理和多学科专业知识是优化复杂周围损伤病例生存的关键.
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