Nishimura Kengo, Matsumura Azumi, Miyasaka Shigeto, Maeta Hiroyuki, Morimoto Keisuke, Taniguchi Iwao
Department of Thoracic and Cardiovascular Surgery, Tottori Prefectural Central Hospital, Tottori, Japan.
Kyobu Geka. 2011 Jun;64(6):497-9.
We used percutaneous cardiopulmonary support (PCPS) to resuscitate a 54-year-old man who had stabbed himself in the left anterior chest with a chopstick. Chest computed tomography showed that the chopstick had penetrated the heart. As he was in shock due to the development of tamponade while waiting for emergency surgery, we immediately decided to initiate PCPS. After cardiopulmonary bypass was established through a median sternotomy replacing PCPS, the chopstick was removed and the stab wounds were closed by mattress sutures. The postoperative course was uneventful.
我们使用经皮心肺支持（PCPS）对一名54岁男子进行复苏，该男子用筷子自刺左前胸。胸部计算机断层扫描显示筷子已刺入心脏。由于在等待急诊手术时因心包填塞而休克，我们立即决定启动PCPS。通过正中胸骨切开术建立体外循环以替代PCPS后，取出筷子，并用褥式缝合关闭刺伤处。术后过程顺利。
