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二尖瓣反流和心内膜炎由针头引发。

Mitral valve regurgitation and endocarditis triggered by a needle.

机构信息

Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Wenhua Xi Road 107#, Jinan, 250012, Shandong Province, People's Republic of China.

Pantheum Biotechnology Co., Ltd, Jinan, Shandong Province, People's Republic of China.

出版信息

BMC Cardiovasc Disord. 2021 Jun 13;21(1):295. doi: 10.1186/s12872-021-02109-z.

Abstract

BACKGROUND

Cardiac foreign bodies are extremely rare in clinical patients, especially when foreign bodies damage the internal structure of the heart coincidentally after they penetrate the heart.

CASE PRESENTATION

Here, we report the case of a two-year-old girl whose heart was penetrated by a needle, which triggered mitral valve regurgitation and endocarditis. After a comprehensive inspection, accurate judgment and surgical preparation, we removed the needle and repaired her mitral valve. Fortunately, she recovered postoperatively.

CONCLUSION

From this case, we can know that when cardiac foreign bodies are suspected, ultrasound is an important inspection method. Moreover, the approaches for handling each such case are different depending on the associated injuries.

摘要

背景

心脏异物在临床患者中极为罕见,尤其是异物穿透心脏后恰巧损伤心脏内部结构时。

病例介绍

本案例报道了一位 2 岁女孩,其心脏被一根针穿透,引发二尖瓣反流和心内膜炎。经过全面检查、准确判断和手术准备,我们取出了这根针并修复了她的二尖瓣。幸运的是,她术后恢复良好。

结论

从这个病例中可以知道,当怀疑心脏有异物时,超声是一种重要的检查方法。而且,由于每个病例的关联损伤不同,处理方法也不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/282c/8201851/b10e11c9191a/12872_2021_2109_Fig1_HTML.jpg

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