Irdem Ahmet, Baspinar Osman, Gokaslan Gokhan
Department of Pediatric Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey,
Surg Today. 2015 Apr;45(4):503-5. doi: 10.1007/s00595-014-0875-7. Epub 2014 Mar 21.
Despite being rarely seen, penetrating cardiac injuries are clinically significant, as they are highly lethal. We herein present the case of a 3-year-old male who unintentionally injured himself by pricking his own chest with a sewing needle and introducing it through the left-lower margin of his sternum into his right ventricle. The needle was located anterior-posteriorly over the right ventricle. An anterior thoracotomy was performed, and the needle was safely removed. No hemorrhage or arrhythmia was seen, so the operation was ended. An early diagnosis and intervention proved to be life-saving for this penetrating cardiac injury.
尽管穿透性心脏损伤很少见，但因其具有高度致死性，所以在临床上具有重要意义。我们在此报告一例3岁男性病例，该患儿不慎用缝衣针刺伤自己的胸部，缝衣针经胸骨左下缘刺入右心室。针位于右心室的前后位。实施了前外侧开胸手术，针被安全取出。未见出血或心律失常，手术结束。早期诊断和干预对该穿透性心脏损伤起到了挽救生命的作用。
