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Updated: Feb 4, 2026

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里科切钉枪穿透第二区,深度部轨迹:一个案例报告
Mohannad M Aladawi1, Fayez G Aldarsouni2, Afnan Alsultan3
1Surgery, King Saud University Medical City, Riyadh, SAU.
Cureus
|February 2, 2026
概括
钉枪部受伤很少见,但危险. 一个 ricochet 造成了深部部伤害,成功地用CT血管造影和手术切除治疗,突出需要彻底评估.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 部的指甲枪伤害并不常见,但由于重要的神经血管和气消化结构,会带来重大风险.
- 连锁事件可能导致意想不到的指甲轨迹和深度透,即使使用低速工具.
研究的目的:
- 报告一个由 ricocheted 钉子引起的 II 区部损伤病例.
- 强调CT血管造影的诊断效用以及在这种情况下外科探索的重要性.
主要方法:
- 一个49岁的男性建筑工人的案例报告,他的子受到了钉子枪伤.
- 诊断成像包括CT血管造影,以划分指甲的轨迹和靠近左椎动脉的距离.
- 手术干预涉及选择性部探索和直接可视化指甲去除.
主要成果:
- 一个曲的金属指甲被确定延伸到C6-C7水平,靠近左脊动脉,与最小的亲密不规则.
- 成功的手术切除的指甲是通过前侧硬骨形的方法实现的.
- 术后成像证实脊椎动脉流动完整,没有并发症.
结论:
- 看似轻微的外部部创伤可以隐藏深层伤害,特别是在 ricochet 机制.
- CT血管造影对于评估透部创伤的程度和指导手术管理至关重要.
- 选择性部探索对于安全管理涉及主要血管结构的深宫损伤是有价值的.
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