标题：Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review
作者：Zhang, Min; He, Qing; Wang, Yalin; Pang, Sizhuo; Wang, Wenjun; Wang, Dandan; Shi, Ping; Zhao, Wei; Luan, Xiaorong
作者机构：[Zhang, Min; Wang, Yalin; Pang, Sizhuo; Wang, Wenjun; Wang, Dandan; Shi, Ping; Zhao, Wei] Shandong Univ, Qilu Hosp, Dept Emergency Med, Jinan, Shandon 更多
通讯作者地址：[Luan, XR]Shandong Univ, Qilu Hosp, Dept Nursing, Wenhua West Rd 107, Jinan 250012, Shandong, Peoples R China.
来源：INTERNATIONAL EMERGENCY NURSING
关键词：Multiple injury; Penetrating injury; Rebar; Falling; Emergency care
摘要：This report describes an extremely rare case of combined penetrating trauma that includes the head, neck, chest, abdomen and scrotum. A 46-year-old male construction worker fell from a 5-metre-high platform, and a rebar that was fixed vertically on the ground penetrated the scrotum into the pelvic and abdominal cavities, passing through the chest, neck, mouth, and nose to the outside of the body through the left side of the head. The rebar penetrated the oral cavity and was palpable on the anterior side of the neck and abdomen. The head, neck, chest and abdominal CT scan and reconstruction showed brain contusion, fractures of the skull and skull base, subarachnoid haemorrhage, palate injury, tongue injury, injury to the right lobe of the thyroid, pleural effusion, pulmonary contusion, cardiac contusion, injury to the left lobe of the lung, neck and mediastinal emphysema, and pneumothorax. Emergency green channels provide a rescue process for urgent and severe cases and smooth and timely diagnostic and treatment process to save patients' lives. The medical staff worked together as a team for the initial evaluation and rescue. Emergency nurses played an important role in communicating, cooperating, managing insulation and pain, and providing psychological counselling, which greatly enhanced the efficiency and quality of the nursing. After the patient underwent surgery, anti-infection treatment, sedatives, analgesics, nutritional therapy, psychological support, and other intensive treatment measures, he recovered well two months after the injury. Follow-up at 5 and 11 months after discharge showed good recovery.