PDF(Pubmed)
Abstract：
UNASSIGNED: Impalement injuries are relatively rare injuries but they can present with significant surgical challenges depending on the site of injury. They can occur through a variety of mechanisms such as fall on a sharp object, assault with a sharp object, high-velocity road traffic accidents, and shrapnel injuries during a blast. Adequate pre-operative planning and surgical execution is of utmost importance for optimal outcome.
UNASSIGNED: We report a case of a 7-year-old child who presented with an impalement injury with a metal rod of a fence, following a fall on the fence while playing. The rod was removed under vision after ruling out any vascular injury. The child recovered without any residual deficits or sequelae.
UNASSIGNED: Proper history and mechanism of injury should be verified at the outset. Complete evaluation should be done to make sure it is a local injury; vascular and neurological status needs to be confirmed and documented before any procedure. Removal under vision in the operating theater under the cover of adequate antibiotics and debridement and wound lavage reduces rates of infection and post-operative morbidity.
UNASSIGNED: We report a case of a 7-year-old child who presented with an impalement injury with a metal rod of a fence, following a fall on the fence while playing. The rod was removed under vision after ruling out any vascular injury. The child recovered without any residual deficits or sequelae.
UNASSIGNED: Proper history and mechanism of injury should be verified at the outset. Complete evaluation should be done to make sure it is a local injury; vascular and neurological status needs to be confirmed and documented before any procedure. Removal under vision in the operating theater under the cover of adequate antibiotics and debridement and wound lavage reduces rates of infection and post-operative morbidity.
摘要：
■穿刺损伤是相对罕见的损伤，但根据损伤部位的不同，它们可能会带来重大的手术挑战。它们可以通过各种机制发生，例如落在尖锐的物体上，用尖锐的物体攻击，高速道路交通事故，爆炸时弹片受伤。充分的术前计划和手术执行对于最佳结果至关重要。
■我们报告了一例7岁的儿童，他的栅栏金属棒被刺穿，在玩耍时摔倒在围栏上。在排除任何血管损伤后,在视觉下移除杆。孩子康复了，没有任何残留的缺陷或后遗症。
■应在一开始就核实适当的病史和损伤机制。应进行全面评估，以确保它是局部损伤;血管和神经状态需要在任何程序之前进行确认和记录。在足够的抗生素和清创和伤口灌洗的掩护下，在手术室的视野下切除可降低感染率和术后发病率。
■我们报告了一例7岁的儿童，他的栅栏金属棒被刺穿，在玩耍时摔倒在围栏上。在排除任何血管损伤后,在视觉下移除杆。孩子康复了，没有任何残留的缺陷或后遗症。
■应在一开始就核实适当的病史和损伤机制。应进行全面评估，以确保它是局部损伤;血管和神经状态需要在任何程序之前进行确认和记录。在足够的抗生素和清创和伤口灌洗的掩护下，在手术室的视野下切除可降低感染率和术后发病率。
