Jagers op Akkerhuis M, Engelberts I, Brink P R
Ned Tijdschr Geneeskd. 1999 Oct 23;143(43):2153-6.
Two butchers, men aged 25 and 48 years, sustained a perforating heart injury when they made a vertical cut. They were rushed to hospital. The first patient was haemodynamically stable on arrival. The second had hypotension and cardiac ultrasonography revealed increased fluid in the pericardium; he was subjected to pericardiocentesis. The heart wounds in both patients were sutured via a left-sided anterolateral thoracotomy; the younger had a wound in the left ventricle, the older both a dorsal and a ventral transmural perforation of the right ventricle. Both patients could be discharged after a little over a week in good condition. Employers in abbattoirs should provide protective clothing fastening high enough to prevent heart wounds.
两名屠夫，分别为25岁和48岁男性，在进行垂直切割时心脏遭受贯穿伤。他们被紧急送往医院。第一名患者到达时血流动力学稳定。第二名患者出现低血压，心脏超声检查显示心包积液增多；对其进行了心包穿刺术。两名患者均通过左侧前外侧开胸手术缝合心脏伤口；较年轻的患者左心室有伤口，年长的患者右心室有背侧和腹侧全层穿孔。两名患者在一周多一点的时间后均康复出院，身体状况良好。屠宰场的雇主应提供足够高的防护服，以防止心脏受伤。
