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低壓電擊傷併鼻骨骨折-個案報告

Low-Voltage Electrical Injury with Nasal Bone Fracture

摘要


低壓電擊造成之鼻骨骨折十分罕見,文獻尚無病例報告。本科於2009年6月經驗一名46歲男性,因雨天空調主機漏電電擊造成顏面外傷及鼻出血而至本院急診求診,理學檢查發現鼻樑上下兩處疑似電擊傷,經鼻骨X光檢查證實為鼻骨骨折,病患接受封閉式鼻骨復位術後,門診追蹤兩年恢復良好。因造成鼻骨骨折之原因特殊,故提出報告並加以討論。

並列摘要


Nasal bone fracture caused by a low-voltage electric shock is extremely rare and has not been previously described in the literature. We report a 46-year-old male who came to our emergency room with facial trauma and nasal bleeding after having walked under an air conditioner and being hit with an electric shock on a rainy day. Two electric shock wounds were recorded above and below the nasal dorsum during the physical examination. Plain x-ray revealed a mildly displaced nasal bone fracture. The patient underwent closed reduction and was followed-up in our outpatient department for 2 years with an uneventful postoperative course.

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