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取出从骨盆骨迁移至心脏右心室的克氏针。

Removal of Kirschner wire that migrated from the pelvic bone into the right ventricle of the heart.

作者信息

Kim Ji Eon, Jung Sung-Ho, Cho Won-Chul, Byun Joung-Hun

机构信息

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2011 Jun;44(3):250-2. doi: 10.5090/kjtcs.2011.44.3.250. Epub 2011 Jun 11.

DOI:10.5090/kjtcs.2011.44.3.250
PMID:22263162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3249313/
Abstract

A sixty-year-old man was admitted due to chest pain. He had a history of pelvic bone fracture fixation with Kirschner wire about 20 years earlier. On examination, we detected a Kirschner wire that had migrated into the right ventricle. Without cardiopulmonary bypass, we removed the migrating Kirschner wire via median sternotomy. The patient recovered without complications and was discharged on the 5th postoperative day.

摘要

一名60岁男性因胸痛入院。他大约在20年前有过骨盆骨折克氏针内固定史。检查时，我们发现一根克氏针移位至右心室。在未进行体外循环的情况下，我们通过正中胸骨切开术取出了移位的克氏针。患者恢复过程中无并发症，并于术后第5天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce9/3249313/3cad252e780b/kjtcs-44-250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce9/3249313/e1bb98d5003f/kjtcs-44-250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce9/3249313/3cad252e780b/kjtcs-44-250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce9/3249313/e1bb98d5003f/kjtcs-44-250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce9/3249313/3cad252e780b/kjtcs-44-250-g002.jpg

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本文引用的文献

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Right ventricular penetration and cardiac tamponade as a late complication of Kirschner wire placement in the sternoclavicular joint.
Interact Cardiovasc Thorac Surg. 2005 Aug;4(4):295-6. doi: 10.1510/icvts.2005.107896. Epub 2005 Apr 15.
2
Migration of a broken cerclage wire from the patella into the heart. A case report.一根断裂的髌骨环扎钢丝从髌骨迁移至心脏。病例报告。
J Bone Joint Surg Am. 2006 Sep;88(9):2057-9. doi: 10.2106/JBJS.E.00968.
3
Chronic heart perforation with 13.5 cm long Kirschner wire without pericardial tamponade: an unusual sequelae after shoulder fracture.伴有一根13.5厘米长克氏针的慢性心脏穿孔且无心包填塞：肩部骨折后一种不寻常的后遗症。
Ann Thorac Surg. 2006 May;81(5):1895-7. doi: 10.1016/j.athoracsur.2005.06.061.
4
Migration of pins used in operations on the shoulder.肩部手术中所用钢针的移位。
J Bone Joint Surg Am. 1990 Sep;72(8):1262-7.