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Isolated Intrahepatic Injury after a Motor Vehicle Accident with Airbag Deployment

車禍時雖然安全氣囊作用但仍造成單獨性肝挫傷

摘要


安全氣囊、特別是與安全帶共同使用時,已被證實可以降低車禍造成嚴重創傷的危險。雖然安全氣囊爆發可能會造成一些傷害,這些傷害大多是表淺性且輕微的。我們治療了一位正面碰撞車禍的34歲男性。雖然他有束上安全帶,安全氣囊在碰撞時也確實有爆發。他的胸、腹部看不出有任何傷口或碰撞的痕跡,上腹部卻有中等度的壓痛。電腦斷層攝影顯示出肝臟右葉裡有一大血腫。經保守治療後,幸順利康復。車禍碰撞中即使安全氣囊有爆發,內臟還是有受到嚴重傷害的危險,更有甚者還有可能因無明顯外傷而被遮掩。因此對於高速衝撞車禍患者、特別是有相關症狀時,務必提高警覺。

關鍵字

安全氣囊 鈍傷 肝臟

並列摘要


Airbags have been shown to reduce the risk of serious injury from motor vehicle accidents, especially when used with seatbelts. Although some injuries can result from airbag deployment, most are superficial and mild. We treated a 34-year-old man who had a head-on motor vehicle accident. He was restrained by seatbelts and the airbag deployed. His chest and abdomen had no visible wounds or contusions but there was moderate epigastric tenderness. Abdominal CT disclosed a large intrahepatic haematoma in the right lobe of the liver. He recovered uneventfully with conservative treatment. Serious visceral injuries can occur after airbag deployment and may be masked because there is no significant external injury. A high level of suspicion is warranted in symptomatic patients after a high-speed accident.

並列關鍵字

airbag blunt injury liver

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