一名 56 岁男子的头颈部枪伤弹道异常:罕见病例报告

Welli Zulfikar, Moh. Habib
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引用次数: 0

摘要

背景:由于颈部存在重要的血管和生命结构,因此颈部枪伤具有很高的死亡率和发病率风险。然而,在极少数情况下,子弹穿过颈部区域的弹道会避免损伤这些重要结构。在这种情况下,我们报告了一例特殊病例,患者是一名 56 岁的男性,因右侧上颌骨穿过左颈前部受枪伤而到急诊科就诊。病例介绍:在检查过程中,发现左颈部有血肿,但没有明显的入口伤口。子弹伤及颈部而不影响任何重要结构的情况极为罕见。要有效处理头颈部高速穿透伤患者,必须优先确保呼吸道通畅、控制出血和及时处理任何残留的创伤畸形,以获得最佳治疗效果。本病例涉及头颈部枪伤,并对相关文献进行了全面回顾。结论:头颈部枪伤复杂而严重,需要迅速而彻底的治疗。本病例强调了术后监测潜在并发症的重要性,为当前管理此类损伤的讨论提供了宝贵的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 56-Year-Old Man with an Unusual Projectile Trajectory of Gunshot Wound at Head and Neck Region: A Rare Case Report
Background: Gunshot injuries to the neck are linked to a substantial risk of high mortality and morbidity due to the presence of critical vascular and vital structures. However, there are rare instances where a bullet trajectory through the neck region avoids damaging these vital structures. In this context, we report a specific case involving a 56-year-old male who presented to the emergency department with a gunshot wound to the right maxilla through the left anterior neck region. Case presentation: During the examination, a hematoma was observed in the left neck without an apparent entrance wound. The occurrence of a bullet injury to the neck without affecting any vital structures is exceptionally uncommon. Effectively managing patients with high-velocity penetrating injuries to the head and neck entails prioritizing tasks such as securing the airway, controlling hemorrhage, and promptly addressing any residual traumatic deformities for optimal outcomes. The presented case involves a gunshot injury to the head and neck, and a comprehensive review of the literature is provided. Conclusion: Gunshot injuries to the head and neck are complex and serious, demanding swift and thorough medical attention. The case emphasizes the significance of post-surgery monitoring for potential complications, contributing valuable insights to the ongoing discourse on managing such injuries.
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