Man unexpectedly recovers from a knife wound through his eye and brain
摘要
一名20多岁男子因面部插刀被送至英国医院，15毫米刀刃贯穿右眼和大脑，刀尖触及颅顶。尽管伤势严重，他抵达时仍清醒存活，能说话并活动四肢，格拉斯哥昏迷评分为12分，属中度脑损伤。医生担心其躁动状态下自行拔刀，迅速实施镇静和插管，并给予预防性抗感染治疗，随后通过影像检查评估颅内情况。
A man in his 20s showed up to a UK hospital with the hilt of a knife sticking out of his face. The 15 mm blade hidden within went completely through his right eye and through his brain, with the tip of the blade hitting the top of his skull.
Despite the ghastly injury, the man was alive and conscious when he arrived. He could still talk and move all four limbs. His doctors described him as being in a state of agitation. On the Glasgow Coma Scale, he scored a 12 (E3 V4 M5), indicating a "moderate" brain injury, just one point above "mild." He could open his left eye when told, but otherwise kept it closed (E3 score); he could talk and answer questions, but was confused (V4); and he intentionally moved away when pressure was applied to his body (M5).
In a report published Friday in BMJ Case Report, his doctors said they were concerned that in his confused, agitated state he may try to pull the knife out on his own. So, they swiftly sedated and intubated him. They put him on prophylactic treatments for bacterial infections, including tetanus. Then they used images to see what was going on in his head.
转载信息
评论 (0)
暂无评论，来留下第一条评论吧