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由于子弹的内迁移引起的Cauda equina综合征:一个罕见的病例呈现

Sait Kayhan¹, Hüsna Çağılcı¹

¹Department of Neurosurgery, Gülhane Training and Research Hospital, The University of Health Sciences, Ankara-Türkiye.

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES

|March 6, 2026

概括

内子弹碎片的延迟迁移可能会导致尾巴马体综合征. 即使没有最初的神经缺陷,也建议进行早期手术干预,以防止严重的并发症.

科学领域:

神经外科神经外科
创伤学创伤学创伤学
神经学神经学

背景情况:

腹腔内子弹迁移很少见,可能导致神经系统缺陷延迟.
脊柱通道内的子弹碎片带来了诊断和治疗方面的挑战.

研究的目的:

报告一个尾巴马综合征的病例,原因是子弹在内射线内迁移的延迟.
讨论这种情况的诊断,手术和临床决策.

主要方法:

一个32岁的男性受枪伤的案例报告.
最初的保守管理,其次是延迟表现的神经缺陷.
手术提取迁移的内子弹碎片.

主要成果:

一个子弹碎片在2.5年内在体内迁移,导致尾巴马体综合征.
手术切除导致了相当大的神经恢复和症状缓解.
突出了从看似无声的内腔碎片中延迟并发症的风险.

结论:

延迟的内子弹迁移可能会导致严重的神经损伤.
应该考虑预防性手术提取内注射子弹碎片,即使在无症状患者中.
早期干预可以预防不可逆转的并发症,如神经系统恶化和毒性.

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