釘による胸骨穿通外傷

Nail Penetrating Injury of the Sternum

胸部には心臓，大血管，肺などの重要臓器が集中しているため，胸壁を穿破した外傷は致命的となりうる．われわれは，家屋を解体中に誤って飛んできた釘が胸骨に刺さり，無名静脈近くにいたった症例を経験したので報告する．

A 48-year-old male was transported to the emergency room with a dirty rusty nail stuck in his chest. Three-dimensional computed tomography （3D-CT） scan revealed that the nail had penetrated the sternum and its tip was close to the left innominate vein. Emergency surgery was performed to avoid severe infections and major vascular injury. The nail was easily removed. We cleansed and debrided the wound which remained open to prevent infection, and was closed on post-operative day 3.