Odate Tomohiro, Hashizume Kouji, Yamasaki Naoya, Miyazaki Takuro, Ariyoshi Tsuneo, Hisata Youichi, Tanigawa Kazuyoshi, Miura Takashi, Nagaji Shun, Tasaki Yuichi, Eishi Kiyoyuki
Department of Cardiovascsurgery, Nagasaki University, Nagasaki, Japan.
Kyobu Geka. 2015 Feb;68(2):113-6.
A 51-year-old woman was stabbed in the chest with a kitchen knife. Twenty minutes after arrival at our hospital by ambulance, she was transferred to the operating room, and a cardiopulmonary bypass was established from the right femoral artery and vein, and a median sternotomy was performed. The knife had damaged the surface of the heart and penetrated the lingular segment of the left lung. Both wounds were directly sutured. Chest X-rays taken after closing the chest showed bleeding in the left lung probably because of the administration of heparin. Bleeding was controlled by lingulectomy. The postoperative course was uneventful.
一名51岁女性被一把菜刀刺伤胸部。经救护车送至我院20分钟后,她被转至手术室,通过右股动静脉建立体外循环,并进行了正中胸骨切开术。刀损伤了心脏表面并穿透了左肺舌段。两处伤口均直接缝合。关胸后拍摄的胸部X光片显示左肺出血,可能是因为使用了肝素。通过肺舌段切除术控制了出血。术后病程平稳。