Kaya Adnan, Caliskan Emine, Tatlisu Mustafa Adem, Hayiroglu Mert Ilker, Tekessin Ahmet Ilker, Cakilli Yasin, Avsar Sahin, Oz Ahmet, Uzman Osman
Cardiology, Suruc State Hospital, Sanliurfa, Turkey.
Radiology, Suruc State Hospital, Sanliurfa, Turkey.
Case Rep Cardiol. 2016;2016:2427681. doi: 10.1155/2016/2427681. Epub 2016 Feb 10.
Penetrating cardiac trauma is rarely seen but when present there is a short time lag to keep the patients alive. Cardiac gunshot injuries are exceptional and it occurs mostly during interpersonal disagreements casualties or a mistakenly fired gun nowadays. Here we present a case of cardiac gunshot injury from the war of Kobani, Syria. The patient was mistakenly diagnosed to have a sole bullet in the left shoulder while he had a penetrating cardiac trauma with a bullet in the heart and pericardial effusion possibly giving rise to pericardial tamponade. Luckily the cardiac gunshot injury was noticed one day later and the patient was referred to a tertiary hospital. Intrapericardial bullet was conservatively followed up. The patient was discharged one week later after resection of the bullet in the shoulder.
穿透性心脏创伤很少见，但一旦发生，能维持患者生命的时间很短暂。心脏枪伤极为罕见，如今大多发生在人际纠纷伤亡事件或误开枪的情况下。在此，我们呈现一例来自叙利亚科巴尼战争的心脏枪伤病例。该患者最初被误诊为仅左肩部有一枚子弹，而实际上他存在穿透性心脏创伤，心脏内有一枚子弹且伴有心包积液，可能导致心包填塞。幸运的是，一天后发现了心脏枪伤，患者被转至一家三级医院。心包内的子弹采取了保守观察。患者在肩部子弹切除一周后出院。
