一个钉伤弹弹到头骨底部的操作管理与不寻常的轨迹:说明案例
Andrii Sirko1, Sebastian Leon2, Mykyta Hulidin1
1Center for Сerebral Neurosurgery, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine.
Journal of neurosurgery. Case lessons
|December 4, 2025
概括
由于爆炸伤害造成的轨道穿透创伤可以隐藏严重的内损伤. 早期CT成像和多学科护理对于异物体的去除和重建至关重要.
科学领域:
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
- 眼科医生 眼科 眼科
背景情况:
- 通过轨道穿透头骨创伤会带来诊断和外科手术的挑战,特别是微妙的外部迹象.
- 爆炸损伤可以沿着复杂的路径推进异物 (FB),冒着血管损伤,内血瘤,脑脊液 (CSF) 泄漏和感染的风险.
- 及时的成像和迅速的多学科干预对于预防并发症至关重要.
研究的目的:
- 要突出穿透轨道创伤与内延伸的诊断和管理挑战.
- 强调先进成像和协作外科规划的重要性.
主要方法:
- 一个24岁的男性的病例报告,在爆炸伤害后,一根10厘米的钉子通过轨道穿透了头骨底部.
- 诊断工作包括CT和脑血管造影.
- 外科手术涉及前骨切割,以移除异物,并复杂地重建骨和骨底部.
主要成果:
- 钉子穿过上层轨道裂进入前部和中部腔,导致皮下血瘤,眼,毛病和西尔维亚静脉损伤.
- CT和血管造影对于划分轨迹和相关损伤至关重要.
- 通过多学科的方法取得了成功的异物清除和重建.
结论:
- 透的轨道伤口可以掩盖具有各种轨迹的危及生命的内损伤.
- 薄切割CT和早期脑血管造影对于诊断至关重要.
- 多学科的规划确保了安全有效的外体移除和重建.
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