清洁通道:上肢损伤与完整的神经血管保护
Rajath S Shetty1, Aditya A Agarwal1, Sangram A Yadav2
1Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
Journal of orthopaedic case reports
|February 11, 2026
概括
一个前臂刺伤病例表明,即时稳定和仔细的手术提取,尽管一个戏剧性的演示,可以导致完整的神经血管的保存. 这强调了遵守创伤管理原则的重要性,以获得穿透四肢创伤的最佳结果.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 紧急医疗 紧急医疗
背景情况:
- 上肢受伤很少见,但由于潜在的神经血管和肌损伤,会带来重大风险.
- 有效的管理取决于医院前的稳定,彻底的评估,成像和细致的手术提取.
- 撞击物体的轨迹,而不是它的外观,决定了实际的病态性.
研究的目的:
- 报告一个跨前臂刺伤病例,神经血管完整保存.
- 在这种情况下,强调建立创伤管理原则的重要性.
- 对于复杂的上肢刺穿成功结果的文献做出贡献.
主要方法:
- 一名29岁的男性患有跨前臂刺伤,按照标准创伤协议进行了治疗.
- 被刺穿的物体在现场被缩短以供运输;手术前评估包括神经血管检查和放射.
- 在麻醉下进行手术探索允许直接可视化和对外体的受控提取.
主要成果:
- 穿刺铁杆穿过表面平面,省略了关键的神经血管结构和肌.
- 提取不复杂,随后是彻底的伤口灌和在排水道上关闭.
- 患者接受了抗生素和风预防治疗;恢复是无事件的,具有完整的神经血管功能和运动范围.
结论:
- 坚持创伤管理原则,包括在现场稳定和直接可视化下提取,对于刺入伤害至关重要.
- 尽管呈现严重,但表面的轨迹导致了完整的神经血管保存的优秀功能结果.
- 结构化,多学科的方法对于优化复杂的穿透四肢创伤的结果至关重要.
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