Smolle-Juettner F M, Hofer P H, Pinter H, Friehs G, Szyskowitz R
Department of Thoracic and Hyperbaric Surgery, University of Graz, Austria.
J Orthop Trauma. 1992;6(1):102-5.
A case of intracardiac malpositioning of a sternoclavicular Kirschner pin is reported. After an uneventful closed wire-fixation of sternoclavicular subluxation and a normal postanesthetic recovery, a 17-year-old male patient developed opacification of the right hemithorax and signs of internal bleeding. The lateral chest roentgenogram showed one fixation wire protruding deeply into the anterior mediastinum. Sternotomy showed a large pericardial tear communicating with the right pleural cavity and a puncture hole of the right auricle that had caused a blood loss of 3 L into the pleural space. Although the surgical repair was uneventful, the patient eventually died as a sequelae to prolonged cerebral hypoxemia.
本文报道了1例锁骨胸骨克氏针在心腔内错位的病例。1名17岁男性患者，在锁骨胸骨半脱位行闭合钢丝固定术后恢复正常，麻醉苏醒后出现右半胸浑浊及内出血迹象。胸部侧位X线片显示一根固定钢丝深深刺入前纵隔。胸骨切开术显示心包有一个与右胸腔相通的大裂口，右心耳有一个穿刺孔，导致3L血液流入胸腔。尽管手术修复顺利，但患者最终因长期脑缺氧的后遗症而死亡。
