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題 名 | Management of Transorbital Brain Injury=經眼穿刺頭部外傷之處理 |
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作 者 | 林宏霖; 李漢忠; 周德陽; | 書刊名 | 中華醫學會雜誌 |
卷 期 | 70:1 2007.01[民96.01] |
頁 次 | 頁36-38+CA7 |
分類號 | 416.284 |
關鍵詞 | 電腦斷層; 頭部外傷; 金屬銅條; 眼部穿刺傷; |
語 文 | 英文(English) |
中文摘要 | 經眼穿刺之頭部外傷是一罕見之事故,如不能及早診斷並治療,常造成嚴重之後遺症。而金屬物在電腦斷層造成之假影,使實際腦部損傷之判讀十分困難。本文中描述兩位被金屬銅條貫穿眼窩合併腦部損傷之病患,其入院之電腦斷層顯示嚴重的銅條假影及顱內出血。兩位病患因意識惡化而接受外科手術。其中一位患者術後復原良好;但另一位患者因嚴重之銅條假影,無法早期診斷出殘存之腦部血塊及腦部脫疝而死亡。故此類病患應於術後立即追蹤電腦斷層,確認實際腦部損傷情形,以避免治療延誤及死亡。 |
英文摘要 | Transorbital brain injuries caused by metal bar penetration are uncommon and often cause serious damage without prompt treatment. Artifacts caused by the penetrating metal bar on computed tomography (CT) often obscure the actual brain damage along the path of penetration, and delayed treatment for the brain insult may result. We present 2 cases of transorbital brain injury following penetration by a metal bar. CT scans were initially performed on both patients. However, image resolution was poor and the extent of brain damage could not be ascertained due to severe artifacts associated with the metal bars. Both patients deteriorated in the emergency room and subsequently received surgical intervention. One patient recovered uneventfully. Unfortunately, the other patient died following surgery due to an unrecognized intracranial hemorrhage with brain herniation. Based on this experience, we recommend prompt surgical decompression with early CT follow-up to determine the true extent of brain damage and assess for possible delayed events in patients with extended transorbital brain injuries caused by metal bars. |
本系統中英文摘要資訊取自各篇刊載內容。