Hasegawa J, Noguchi N, Yamasaki J, Kotake H, Mashiba H, Sasaki S, Mori T
Department of Internal Medicine, Tottori University School of Medicine, Yonago, Japan.
Cardiology. 1991;78(1):58-63. doi: 10.1159/000174766.
We report a 52-year-old man who presented with cardiac tamponade a few years after accidental breakage of an acupuncture needle that had not been removed. Thoracotomy showed a hemopericardium with penetration of the pulmonary artery by the very fine needle which was barely detected on the chest roentgenogram. This lesion was not suspected on the basis of roentgenography, two-dimensional echocardiography, or computed tomography, but was detected by the presence of other thick needles in the neck, chest and abdomen. This case showed a possible threat of 'stealthy' and migrating foreign bodies, such as very fine acupuncture needles.
我们报告一名52岁男性，在一根未取出的针灸针意外折断几年后出现心脏压塞。开胸手术显示心包积血，极细的针穿透了肺动脉，在胸部X线片上几乎无法检测到。根据X线摄影、二维超声心动图或计算机断层扫描未怀疑到该病变，但通过颈部、胸部和腹部存在其他粗针而检测到。该病例显示了诸如极细针灸针之类的“隐匿性”和迁移性异物可能带来的威胁。
