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Yang X, Tang N, Li L, Xu G, Dai J, Tao K, He C, Huangfu C. Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report. Exp Ther Med 2022; 23:386. [PMID: 35495585 PMCID: PMC9019741 DOI: 10.3892/etm.2022.11313] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 03/28/2022] [Indexed: 11/06/2022] Open
Abstract
Abdominal crush injury has been widely reported. However, abdominal crush injury cases involving most of the organ systems have seldom been reported. In the present case report, a 58-year-old man was hit in the abdomen by a 4-ton machine tool. The case described a rare combination of cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation and thrombosis after severe abdominal crush injury. During the treatment, crush syndrome, anemia, electrolyte disorder, pleural effusion, pulmonary emphysema, compartment syndrome, respiratory failure, pulmonary hemorrhage, injury of the right common peroneal nerve and tibial nerve, septum abscess and malnutrition were also observed. Systemic and symptomatic treatments were performed for >3 months, after which the patient was discharged from hospital without any further risk of fatality. The related treatments were also described in detail in the present case report. This case represented one of the most complicated cases among abdominal crush injuries that have been reported, and the treatment experiences reported here will hopefully provide suitable reference points for similar cases.
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Affiliation(s)
- Xiaokun Yang
- Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China
| | - Nan Tang
- School of Nursing, Lanzhou University, Lanzhou, Gansu 730010, P.R. China
| | - Le Li
- Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China
| | - Guisen Xu
- Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China
| | - Juan Dai
- Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China
| | - Kai Tao
- Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China
| | - Chunyang He
- Department of Hyperbaric Oxygenation Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China
| | - Chaoji Huangfu
- Center for Disease Control and Prevention, Western Theater Command, Lanzhou, Gansu 730020, P.R. China
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