Tarazi M, Mayooran N, Hinchion J
Cardiothoracic Surgery, Cork University Hospital, Ireland.
J Surg Case Rep. 2017 Aug 30;2017(8):rjx170. doi: 10.1093/jscr/rjx170. eCollection 2017 Aug.
We present the case of a 64-year-old man who was referred to our service after sustaining a self-inflicted nail-gun injury to his chest. He received three nails penetrated into his chest. Computer tomography revealed no massive haemorrhage or damage to major vessels. He underwent an emergency sternotomy, two nails caused pericardial perforation and myocardial injury were noted easily and removed easily via sternotomy. Myocardial injury showed a trajectory near the junction of the left anterior descending artery and the diagonal artery with no significant bleeding appreciated. The third nail was deep in the lung parenchyma at the hilum. A pacemaker magnet was used to locate the third nail, which was subsequently removed. Our case demonstrates the use of magnets in emergency surgery, to locate and remove metallic foreign bodies.
我们报告一例64岁男性病例，该患者胸部自伤枪钉伤后被转诊至我院。他胸部被三颗钉子穿透。计算机断层扫描显示无大量出血或主要血管损伤。他接受了急诊胸骨切开术，两颗钉子导致心包穿孔，心肌损伤很容易被发现并通过胸骨切开术轻松取出。心肌损伤显示轨迹靠近左前降支与对角支的交界处，未见明显出血。第三颗钉子位于肺门处的肺实质深部。使用起搏器磁铁定位第三颗钉子，随后将其取出。我们的病例展示了磁铁在急诊手术中用于定位和取出金属异物的应用。
