Soft tissue compartment bleed-the iceberg phenomenon:a case report  

作　　者：Ramesh Vaidyanathan Parvez Mohi Ud Din Dar Dinesh Bagaria Amit Gupta 

机构地区：[1]Division of Trauma Surgery and Critical Care,Jai Prakash Narayan Apex Trauma Center,All India Institute of Medical Sciences,New Delhi,India [2]Department of Trauma and Emergency Medicine,All India Institute of Medical Sciences,Vijaypur,Jammu,Jammu and Kashmir,India

出　　处：《Emergency and Critical Care Medicine》2023年第1期32-35,共4页急危重症医学（英文）

摘　　要：Introduction:Hemorrhage control is the essence of trauma care.Conventional teaching is 1 on the floor(ie,external bleeding)and 4 more(thoracic cavity,abdomen,retroperitoneum,and long bones).In this case report,we present a unique case with concealed bleeding into the soft tissue compartment leading to shock.This case triggered to consider the soft tissue compartment as the sixth potential bleeding site in trauma patients in hemorrhagic shock.Case presentation:We present the case with concealed bleeding into the soft tissue compartment posing a challenge in management.On presentation,he had a pulse rate of 117 beats/min,a blood pressure of 90/60mmHg,and a Glasgow Coma Scale(GCS)score of 9.During resuscitation,the patient's blood pressure dropped to 70/46 mmHg with a GCS of 7 of 15.He was then intubated and reevaluated.Contrast-enhanced computed tomography of the torso revealed a right scapular fracture with a large soft tissue hematoma along the right side of the neck and chest wall,extending up to the right lumbar region.Conclusion:We suggest that the soft tissue compartment is the sixth potential site of internal bleeding in trauma patients,which should not be overlooked after having ruled out the other 5 sites.

关 键 词：Case report HEMORRHAGE Shock Soft tissue injury TRAUMA 

分 类 号：R473[医药卫生—护理学]