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題名 | A Rare Cause of Penetrating Injury to the Aorta--Nail Gun Injury to the Aorta=罕見性主動脈穿刺傷--主動脈釘槍外傷 |
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作者 | 趙安怡; 陳益祥; 陳文鍾; 林芳郁; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 3:1 2001.01[民90.01] |
頁次 | 頁10-14 |
分類號 | 416.14 |
關鍵詞 | 釘槍外傷; 主動脈外傷; Nail gun injury; Aortic injury; |
語文 | 英文(English) |
中文摘要 | 主動脈穿刺外傷會引發極高的死亡率,特別是胸部主動脈外傷,而釘槍外傷最常見發生的部位是在四肢。我們罕見的胸部主動脈及左心室釘槍外傷案例作為報告。電腦斷層可提供釘槍之路徑及其正確的位置。經過心肺部分繞道手,釘槍可去除,且位於心臟及主動脈穿刺傷口皆可經由左胸廓造口術修補,此篇可能是心臟及主動脈因釘槍外傷首位存活案例之報告。 |
英文摘要 | Penetrating aortic injury carries a high risk of mortality, especially at the thoracic aorta. Nail gun injury usually occurs in extremity. We reported a rare case of nail gun injury to the thoracic aorta and left ventricle. Ultrafast computer tomography provided us with information regarding route of the nail and the precise location of the nail. Under partial cardiopulmonary bypass, the nail was removed ant the penetrating holes in the heart and aorta. |
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