韩国平民穿透性肺枪伤手术治疗的临床经验:病例报告。

Q4 Medicine
Journal of Chest Surgery Pub Date : 2024-01-05 Epub Date: 2023-08-14 DOI:10.5090/jcs.23.061
Seonyeong Heo, Jung Hee Kim, Younggi Jung, Kwanghyoung Lee, Sungho Lee, Eunjue Yi
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引用次数: 0

摘要

在韩国,由于严格的枪支管制政策,枪弹引起的胸部创伤在平民中极为罕见。军方报告强调使用紧急开胸手术来增加存活机会,与此形成鲜明对比的是,在平民环境中,大多数穿透性非心脏损伤都采用保守治疗,如插入胸管,因为它们通常是由能量较低的子弹造成的。不过,对穿透性枪伤进行早期外科干预有助于减少因肺炎或肺水肿引起的化脓性并发症而导致的延迟死亡。微创胸腔手术的出现提供了具有成本效益且相对无创的治疗方案,有助于预防未排出血肿引起的潜在并发症,并促进功能恢复和重返社会。我们利用视频辅助胸腔镜手术成功治疗了一名胸部穿透性枪伤患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Experience of Surgical Treatment for Penetrating Pulmonary Gunshot Wound of a Civilian in Korea: A Case Report.

Gunshot-induced chest trauma is exceedingly rare among civilians in South Korea due to strong firearm control policies. In contrast to military reports emphasizing the use of emergent open thoracotomy to increase chances of survival, most penetrating non-cardiac injuries in civilian settings are managed conservatively, such as through chest tube insertion, as they typically result from lower-energy bullets. However, early surgical intervention for penetrating gunshot wounds can help reduce delayed fatalities caused by septic complications from pneumonia or empyema. The advent of minimally invasive thoracic surgery has provided cost-effective and relatively non-invasive treatment options, aided in the prevention of potential complications from undrained hematomas, and facilitated functional recovery and reintegration into society. We successfully treated a patient with a penetrating gunshot wound to the chest using video-assisted thoracoscopic surgery.

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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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