Suda Hisao, Nakayama Takuya, Sunada Masatoshi, Miyata Yosuke, Yamada Toshiyuki
Department of Cardiovascular Surgery, Nagoya East Medical Center, Nagoya, Japan.
Kyobu Geka. 2014 May;67(5):411-4.
Penetrating cardiac injuries are life-threatening emergencies. We present a case of a 24-year-old construction worker who accidentally shot himself with a nail gun. Chest X-ray showed a 6 cm-long nail overlapping the cardiac shadow. A computed tomography (CT) scan revealed the nail penetrating the left ventricle and a large amount of pericardial effusion. Median sternotomy was performed and cardiopulmomary bypass was established. Then, the nail was removed and the left ventricular wound was repaired by 4-0 Prolene mattress sutures buttressed with felt-strips. He had an uncomplicated postoperative course and was discharged 7 days postoperatively.
穿透性心脏损伤是危及生命的紧急情况。我们报告一例24岁建筑工人意外用射钉枪射中自己的病例。胸部X线显示一枚6厘米长的钉子与心脏阴影重叠。计算机断层扫描（CT）显示钉子穿透左心室并伴有大量心包积液。行正中胸骨切开术并建立体外循环。然后，取出钉子，用4-0普理灵褥式缝线并以毡条加强修补左心室伤口。他术后过程顺利，术后7天出院。
