Wu Xu, Wang Wu-Jun, Sang Xian-Fu, Hu Zhen-Fu, Chen Gang, Chen Dong-Sheng, Guo Gang, Xiang Qian, Tian Ke, Peng Yue-Hua
Department of Thoracic Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
Di Yi Jun Yi Da Xue Xue Bao. 2002 Oct;22(10):918-8.
A 23-year-old male patient, who was stabbed in the left chest at the fourth intercostal space leaving a 4-cm wound, was in agonal state with blood pressure of 0/0 kPa when admitted. The patient underwent emergency room thoractomy on stretcher through the left fourth intercostal anterior lateral incision 16 min after injury. The exploration revealed 2 500 ml blood in the plural cavity, 4-cm wound in the pericardium, 2-cm wound in the right ventricle of the heart without asystole, and 5-cm wound in the left upper lobe of the lung. Within 4 min the wound in the heart was sutured with the pericardium as the backing. The patient was discharged with full recovery 8 d after injury.
一名23岁男性患者，左胸部第四肋间被刺伤，伤口长4厘米，入院时处于濒死状态，血压为0/0千帕。患者受伤后16分钟在担架上通过左第四肋间前外侧切口在急诊室接受了开胸手术。探查发现胸腔内有2500毫升血液，心包有4厘米伤口，右心室有2厘米伤口但心脏未停搏，左肺上叶有5厘米伤口。在4分钟内以心包为衬垫缝合了心脏伤口。患者受伤后8天完全康复出院。
