{"title":"胸部枪伤伴血管损伤","authors":"Ahmad Adityawarman, A. Ghozali","doi":"10.20527/JBK.V17I1.10253","DOIUrl":null,"url":null,"abstract":"Abstract: The thoracic gunshot wounds may cause high morbidity and mortality, especially if accompanied by vascular injuries. Therefore, immediate management and precise decision are needed. A 35-year-old man who was referred from the regional hospital presented with thoracic gunshot wound and a history of hemorrhagic shock. A projectile was found through the chest wall and caused axillary artery rupture. The patient underwent exploratory thoracotomy and axillo-brachial artery bypass using a great saphenous vein graft. The patient's postoperative condition showed improvement in hemodynamic and distal limb perfusion. Keywords: Chest trauma, gunshot wound, axillary artery, vascular injury","PeriodicalId":53378,"journal":{"name":"Berkala Kedokteran","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Thoracic Gunshot Wound with Vascular Lesion\",\"authors\":\"Ahmad Adityawarman, A. Ghozali\",\"doi\":\"10.20527/JBK.V17I1.10253\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract: The thoracic gunshot wounds may cause high morbidity and mortality, especially if accompanied by vascular injuries. Therefore, immediate management and precise decision are needed. A 35-year-old man who was referred from the regional hospital presented with thoracic gunshot wound and a history of hemorrhagic shock. A projectile was found through the chest wall and caused axillary artery rupture. The patient underwent exploratory thoracotomy and axillo-brachial artery bypass using a great saphenous vein graft. The patient's postoperative condition showed improvement in hemodynamic and distal limb perfusion. Keywords: Chest trauma, gunshot wound, axillary artery, vascular injury\",\"PeriodicalId\":53378,\"journal\":{\"name\":\"Berkala Kedokteran\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-03-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Berkala Kedokteran\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.20527/JBK.V17I1.10253\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Berkala Kedokteran","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.20527/JBK.V17I1.10253","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Abstract: The thoracic gunshot wounds may cause high morbidity and mortality, especially if accompanied by vascular injuries. Therefore, immediate management and precise decision are needed. A 35-year-old man who was referred from the regional hospital presented with thoracic gunshot wound and a history of hemorrhagic shock. A projectile was found through the chest wall and caused axillary artery rupture. The patient underwent exploratory thoracotomy and axillo-brachial artery bypass using a great saphenous vein graft. The patient's postoperative condition showed improvement in hemodynamic and distal limb perfusion. Keywords: Chest trauma, gunshot wound, axillary artery, vascular injury
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