Dieng P A, Diop M S, Ciss A G, Ba P S, Diatta S, Gaye M, Fall M L, Ndiaye A, Ndiaye M
Service de Chirurgie Cardiovasculaire et Thoracique, CHUN Fann, Dakar, Senegal.
Case Rep Cardiol. 2015;2015:140507. doi: 10.1155/2015/140507. Epub 2015 Apr 5.
Penetrating heart injuries cause wounds in the cardiac chambers. Most of them are due to gunshot or stabbing by knives. Screwdriver is an uncommon weapon. Authors report a case of stab wound by screwdriver, treated at cardiovascular center in Dakar. This is a 16-year-old boy who experienced physical aggression. He was assaulted with a screwdriver and had stab wound on the anterior wall of the chest. Physical examination showed a screwdriver penetrating the sternum bone over a right angle. He had a mild pericardial blood effusion and a right ventricle wound 5 mm in diameter with transection of the right coronary vein. The screwdriver was removed without cardiopulmonary bypass (CPB) and the ventricle wound repaired by direct suture of stitches reinforced with Teflon pledgets. The right coronary artery was ligated. Postoperative period was free of events. Screwdriver is uncommonly used as a weapon. It is a dangerous device because of its rigid structure and narrow tip.
穿透性心脏损伤会导致心脏腔室出现伤口。其中大多数是由枪击或刀刺造成的。螺丝刀是一种不常见的凶器。作者报告了一例在达喀尔心血管中心接受治疗的螺丝刀刺伤病例。这是一名16岁遭受身体攻击的男孩。他被螺丝刀袭击，胸部前壁有刺伤。体格检查显示一把螺丝刀呈直角穿透胸骨。他有轻度心包积血，右心室有一个直径5毫米的伤口，右冠状动脉静脉横断。在没有体外循环（CPB）的情况下取出螺丝刀，通过用特氟龙垫片加固的缝线直接缝合修复心室伤口。结扎右冠状动脉。术后无并发症。螺丝刀很少被用作凶器。由于其刚性结构和狭窄尖端，它是一种危险的器械。
