栓塞性皮下注射针致创伤性心脏压塞：一例报告
Embolic Hypodermic Needle Causing Traumatic Cardiac Tamponade: A Case Report.
作者信息
Yen Albert F, Homer Christina M, Mohapatra Alexander, Langnas Erica, Gomez Antonio, Hendrickson Carolyn M
机构信息
Division of Critical Care, Department of Anesthesiology and Perioperative Care, University of California, San Francisco, San Francisco, CA.
Department of Medicine, University of California, San Francisco, San Francisco, CA.
出版信息
Crit Care Explor. 2019 Aug 9;1(8):e0038. doi: 10.1097/CCE.0000000000000038. eCollection 2019 Aug.
UNLABELLED
We present a unique case of a broken fragment of a hypodermic needle breaking and embolizing to the heart. This needle subsequently penetrated the right ventricle and the patient developed hemopericardium which resulted in cardiac tamponade physiology.
DATA SOURCES
None.
STUDY SELECTION
None.
DATA EXTRACTION
None.
DATA SYNTHESIS
Recognizing the potential for unusual and serious complications of IV illicit drug use is an important part of providing effective and timely medical care in this vulnerable population.
CONCLUSIONS
An embolic needle phenomenon can have significant sequela, including direct cardiac trauma leading to tamponade and subsequent cardiac collapse. Partnering with the patient to take a detailed history was critical in uncovering the underlying etiology of this patient's cardiogenic shock.
未标注
我们报告了一例独特的病例，皮下注射针头的碎片断裂并栓塞至心脏。该针头随后穿透右心室，患者出现心包积血，导致心脏压塞生理状态。
数据来源
无。
研究选择
无。
数据提取
无。
数据综合
认识到静脉注射非法药物使用可能出现异常和严重并发症，是为这一弱势群体提供有效及时医疗护理的重要部分。
结论
栓塞性针头现象可产生严重后果，包括导致心脏压塞和随后心脏衰竭的直接心脏创伤。与患者合作获取详细病史对于揭示该患者心源性休克的潜在病因至关重要。
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