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摘要


針魚是一種喙部長而堅硬的魚類,它們經常會於夜間朝燈光處飛行前進。此種穿通傷應視同刺傷,依傷口所在部位而有不同之治療方式。我們報告一個被針魚刺傷穿通氣管的罕見個案。這是一個潛水捕捉龍蝦的漁夫被針魚撞擊到前頸部,送達急診室時,有廣大面積皮下氣腫及吐出痰中帶血等症狀。完成檢查與評估後,我們選擇非手術性處理方式,成功地治療此病人。

關鍵字

氣管穿刺傷 針魚

並列摘要


Needlefish are characterized with their rigid, elongated jaws. They are frequently attracted by light at night and may inflict a wound by plunging their sharp beaks into anyone in their path. Therefore, the penetrating injury should be managed as a stab injury, and treatment is determined primarily by the location of the injury. We report on an unusual case of penetrating tracheal injury caused by a needlefish. This diving lobsterman was struck by a needlefish on his anterior neck and presented with extensive subcutaneous crepitus and hemoptysis on arrival at the emergency room. We successfully treated the patient with selective nonoperative management after a thorough physical examination and ancillary evaluation.

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