Mishra Biplab, Joshi Mohit Kumar, Kumar Subodh, Kumar Atin, Gupta Amit, Rattan Amulya, Sagar Sushma, Singhal Maneesh, Misra Mahesh Chandra
Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
Chin J Traumatol. 2017 Apr;20(2):122-124. doi: 10.1016/j.cjtee.2016.05.006. Epub 2017 Mar 1.
The management of hemodynamically normal patients with retained intra-pericardial foreign body remains a matter of conjecture. The available literature supports non-operative management of such innocuous foreign bodies. We report our experience of a hemodynamically normal patient with a retained intra-pericardial pellet from a firearm injury. He initially received successful non-operative management but developed fatal hemopericardium 21 days after injury. In this paper, we discussed the pitfalls in the management of such injuries in light of the available literature and summarized the clinical experience.
对于血流动力学正常但心包内有异物残留的患者，其治疗方法仍存在争议。现有文献支持对这类无害异物采取非手术治疗。我们报告了一例血流动力学正常的患者，因火器伤导致心包内有弹丸残留。他最初接受非手术治疗取得成功，但在受伤21天后发生致命性心包积血。在本文中，我们根据现有文献讨论了此类损伤治疗中的陷阱，并总结了临床经验。
