Penetrating Head Trauma by a Metal Bar: A Case Report

鐵棒頭顱穿刺傷：病例報告

黃英傑(Ying-Chieh Huang) ； 劉富舜(Fu-Soon Liu) ； 陳世翰(Shyh-Han Chen) ； 譚超毅(Chau-Yi Tan)

《中華民國急救加護醫學會雜誌》 14卷1期 (2003/03) Pp. 31-34

https://doi.org/10.30018/JECCM.200303.0006

摘要

有位23歲男子工作時被高處墜落的鐵棒刺穿頭顱右枕部。當被送捳醫院時，非智依然清醒，生命徵象亦常穩定。除頭部創傷外，幸未遭遇其他創傷。穩定傷勢後，立即提供緊急手術治療其腦及血管之損傷。當在修補受損的上矢狀靜脈竇時，曾併發大出血，在積極的治療下，轉危為安，僅殘留單側偏盲。鈍器造成的穿刺性頭部創傷相當罕見。穿刺的部位及穿過的途徑往往決定了傷害。死亡者通常由嚴重的腦傷或是大出血所致，然而還是有部分傷患被送抵醫院時，神經功能常為完整，只要能即時提供夠水準的緊急醫療，這些傷患還是有機會可以存活。

關鍵字

頭部鈍傷 ； 穿刺性腦傷

並列摘要

A falling metal bar penetrated the right occipital are of a 22-year-old man. He remained coherent and in a stationary condition on arrival at the hospital. No other injury was found. After stabilization, he underwent an emergency operation. Brain injuries and superior sagittal sinus penetration were repaired. Massive hemorrhave occurred during vascular repair; however, he survived with homonymous hemianopia. Penetration head trauma by a blunt object is rare. The location and penetration tract determine the extent and kind of injuries. Patients mostly die form brain injury or hemorrhage; however, some may arrive neurologically intact at the hospital. There is a chance to save a life if qualified care can be provided in time.

並列關鍵字

blunt head trauma ； penetratiog brain injury