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枪击弹丸移行至右心室:一例报告及文献复习

Gunshot Pellet Migration to the Right Ventricle: a Case Report and Literature Review.

作者信息

Jiachang Wu, Haien Zhao, Yuanguo Luo, Lei Wang, Zhoudan Lin, Hua Yang

机构信息

Department of Orthopedics, The 303rd Hospital of PLA, Nanning, Guangxi 530021 China.

High-Tech Institute of Xi'an, Xi'an, Shannxi 710025 China.

出版信息

Indian J Surg. 2017 Apr;79(2):163-165. doi: 10.1007/s12262-016-1461-6. Epub 2016 Mar 5.

Abstract

The diagnosis and management of injuries of the heart or the great vessels continues to be a major surgical challenge in the past and now. This case study introduces the conservative management of a patient who developed a venous bullet embolus after being shot in the lower extremities. In this case report, we aim to review some of the literature on bullet emboli and to raise awareness of its existence. It was concluded that for bullets left in the limbs, bullet position in relation with peripheral vessels should be evaluated carefully to treat and avoid the bullets moving along with the bloodstream.

摘要

过去乃至现在,心脏或大血管损伤的诊断与处理一直是外科领域的重大挑战。本病例研究介绍了一名下肢枪伤后发生静脉子弹栓子患者的保守治疗情况。在本病例报告中,我们旨在回顾一些关于子弹栓子的文献,并提高对其存在的认识。得出的结论是,对于留在肢体中的子弹,应仔细评估子弹与周围血管的位置关系,以进行治疗并避免子弹随血流移动。

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本文引用的文献

1
Venous bullet embolism to the right ventricle.右心室静脉子弹栓塞。
Br J Radiol. 2007 Dec;80(960):e296-8. doi: 10.1259/bjr/64277826.
2
Bullet embolism to the pulmonary artery.
Interact Cardiovasc Thorac Surg. 2004 Jun;3(2):356-8. doi: 10.1016/j.icvts.2004.02.002.

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