颌面及颈胸部金属穿通伤1例

A case report of metal penetrating trauma in maxillo-facial,neck and chest

1病例报告 患者，男，21岁。因“高处坠落致颌面颈胸部嵌入杆状金属物1h”于2011年5月26日急诊入院。患者在建筑工地作业时不慎自约10米高处坠落致使地面工地竖立的直径约2．5cm的螺纹钢筋自左侧腋下穿入，穿过颈部后从右侧眉弓外缘穿出。

A 21 years old male patient was admitted with a complex trauma of metal penetrating wound in maxillo facial region,neck and chest because of a high falling accident one hour ago. General examination：the vital signs were stable. Specialized examination： metal foreign body penetrated from the front wall of the axilla , passing left clavicle superficies , through the middle of neck into the posterior pharyngeal wall, then piercing out from the superciliary arch lateral. The patient had apparent tenderness in the right arch,right zygomatic bone and the front of right maxilla, the degree of mouth was about 1.8cm. X-ray showed the foreign body： from left armpit to right temporal part. The admission diagnosis was ..1. metal penetrating wound in maxillo-faeial,neck and chest^2, right zygomatic maxillary and zygomatic arch fractures. Treatment： the foreign body was removed smoothly through the concurrent operation,and by scendary operation of open reduction and internal fixation of fractures, the finally result of patient was good.