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心脏枪伤：一次意外的未命中！

Cardiac Gunshot Injury: A Serendipitous Miss!

作者信息

Jain Jeetesh, Bhasin Dinkar, Gupta Anunay, Isser H S, Bansal Sandeep

机构信息

Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

出版信息

JACC Case Rep. 2020 Nov 25;3(1):16-19. doi: 10.1016/j.jaccas.2020.06.049. eCollection 2021 Jan.

DOI:10.1016/j.jaccas.2020.06.049
PMID:34317461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8305087/
Abstract

Penetrating cardiac injuries carry a grave prognosis. We present a rare case of thoracic gunshot injury where the bullet ricocheted and lodged in the pericardium without causing damage to the adjacent cardiac structures. Multimodality imaging helped in localizing the bullet, assessing damage, and planning safe surgical removal without cardiopulmonary bypass. ().

摘要

穿透性心脏损伤预后严重。我们报告一例罕见的胸部枪伤病例，子弹发生跳弹并嵌顿于心包，未对相邻心脏结构造成损伤。多模态成像有助于定位子弹、评估损伤，并规划在无体外循环情况下安全取出子弹的手术方案。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/a4fd22a27476/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/b21447336ac0/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/f3328dd4e042/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/aafe0e7b82c2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/1d70060a4fea/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/405c47c697eb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/a4fd22a27476/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/b21447336ac0/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/f3328dd4e042/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/aafe0e7b82c2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/1d70060a4fea/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/405c47c697eb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f97/8305087/a4fd22a27476/gr5.jpg

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引用本文的文献

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Gunshot-Related Cardiac Trauma: A Multidisciplinary Approach Using Multimodality Imaging.枪伤相关心脏创伤：一种采用多模态成像的多学科方法
JACC Case Rep. 2021 Jan 20;3(1):31-33. doi: 10.1016/j.jaccas.2020.12.006. eCollection 2021 Jan.

本文引用的文献

1
Innocuous cardiac gunshot that proved fatal: A bitter lesson learned.看似无害的心脏枪伤却致人死亡：沉痛的教训。
Chin J Traumatol. 2017 Apr;20(2):122-124. doi: 10.1016/j.cjtee.2016.05.006. Epub 2017 Mar 1.
2
Transmediastinal gunshot wounds in a mature trauma centre: changing perspectives.经纵隔枪弹伤：成熟创伤中心的变化视角。
Injury. 2013 Sep;44(9):1198-203. doi: 10.1016/j.injury.2012.12.014. Epub 2013 Jan 5.
3
Emergency operation for penetrating thoracic trauma in a metropolitan surgical service in South Africa.南非大都市外科服务中穿透性胸部创伤的急诊手术。
J Thorac Cardiovasc Surg. 2011 Sep;142(3):563-8. doi: 10.1016/j.jtcvs.2011.03.034.
4
Penetrating cardiac injuries.穿透性心脏损伤
Ulus Travma Acil Cerrahi Derg. 2007 Apr;13(2):135-41.