Ottino G, Zattera G, Lamarca S, Farinella M, Casabona R, Pansini S, Del Ponte S
Department of Cardiac Surgery, University of Turin, Turin Civil Hospital, Astia, Italy.
Thorac Cardiovasc Surg. 1989 Aug;37(4):264-6. doi: 10.1055/s-2007-1020329.
The rare case of a penetrating cardiac wound with fortuitous outcome caused by a disintegrating rotating electric saw at the patient's home is described. The patient was successfully treated in two stages: Emergency treatment in the nearest hospital, where no extracorporeal circulation facilities were available, to stop the bleeding, followed by transport to, an cardiac surgery in university hospital, where a foreign body in the right ventricle was removed. Pathophysiology of heart wounds and their surgical treatment are discussed.
本文描述了一例罕见病例,患者在家中因旋转电锯解体导致心脏穿透伤,最终结果幸运。患者分两个阶段成功接受治疗:首先在附近没有体外循环设备的医院进行紧急处理以止血,随后转送至大学医院进行心脏手术,取出右心室内的异物。文中还讨论了心脏创伤的病理生理学及其外科治疗方法。