穿透性心脏外伤并心脏异物一例  

A foreign body in the heart due to penetrating cardiac trauma

作　　者：曾晖 蒙媛丽 华平[1] ZENG Hui;MENG Yuan-li;HUA Ping(Department of Cardio-Vascular Surgery;Department of Cardiology,Sun Yat-sen Memorial Hospital,Sun Yatsen University,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院心血管外科,广州510120 [2]中山大学孙逸仙纪念医院心血管内科,广州510120

出　　处：《岭南现代临床外科》2023年第6期514-516,共3页Lingnan Modern Clinics in Surgery

摘　　要：穿透性心脏外伤是最严重的急危重症之一,病情发展迅速,死亡率高。本文报告一例58岁亚临床型的穿透性心脏损伤患者,在14小时以前在切割铁器时受伤并存在右心异物。考虑到异物停留在右室流出道的室间隔上,靠近右冠状动脉,具有心脏破裂再次出血、异物移位造成二次伤害以及心内膜感染、心包炎等潜在风险,我们进行了紧急心脏手术并成功取出心脏内铁屑异物。Penetrating heart traumas are immediate life-threatening situations.We present a case report of a 58-year-old man with a foreign body in his right heart.The injury happened while the man was working 14 hours prior to the actual diagnosis.With respect to the size of the foreign body,its close prox-imity to the right coronary artery,the potential risk of bleeding,embolization,endocarditis or pericarditis,emergency surgical therapy was indicated.The foreign body was successfully removed。

关 键 词：心脏外伤 心脏异物 急诊手术 

分 类 号：R654.2[医药卫生—外科学]