Transthorakale Pfahlungsverletzung: Lessons Learned Thoracic Impalement: Lessons Learned

摘要

This paper presents the case report of a 54-years old truck driver who suffered from a transthora-cic impalement injury after a rear-end collision accident. We analysed the transportation under spontaneous breathing, the diagnostic procedures in the shock room as well as the immediately performed procedures. During surgical treatment, temporary compression of the thoracic aorta was necessary because of cardiopulmo-nal instability of the patient. On basis of the treatment of this highly dramatic injury, the following three striking conclusions are deduced and are further discussed on the background of the current literature.1. Compression of the thoracic aorta is highly effective.2. explorative laparotomy provides security.3. A perforating item should be shortened sufficiently.