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胸部CT扫描在非典型心脏创伤处理中的作用:气枪致左心室损伤

Role of chest CT scan in atypical cardiac trauma management: Left ventricle injury by a nail gun.

作者信息

Hajsadeghi Shokoufeh, Zeraatian Nejad Davani Sam, Pour Mohammad Arash, Gholizadeh Mesgarha Milad

机构信息

Research center for prevention of cardiovascular disease, Institute of endocrinology & metabolism, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Department of cardiovascular surgery, Rasool akram hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran.

出版信息

Radiol Case Rep. 2021 Aug 26;16(11):3280-3284. doi: 10.1016/j.radcr.2021.07.068. eCollection 2021 Nov.

DOI:10.1016/j.radcr.2021.07.068
PMID:34484531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8403714/
Abstract

We report a case of an accidental penetrating cardiac trauma with a nail gun. A 28-year-old man was repairing a sofa with a nail gun when a nail was misfired to his chest. At the time of his presentation, he underwent chest CT scan, showing the nail as a sharp hyperdense foreign body penetrating the chest wall passing through the lower lobe of the left lung and finally the anterior aspect of left ventricle cavity. This report highlights the utility of the chest CT scan to detect trajectory of the misfired nail accurately and instantaneously in a hemodynamically stable patient to assist in the surgery plan.

摘要

我们报告一例使用射钉枪导致的意外穿透性心脏创伤病例。一名28岁男性在用射钉枪修理沙发时,一枚钉子误发射至其胸部。在他就诊时,进行了胸部CT扫描,显示钉子为尖锐的高密度异物,穿透胸壁,穿过左肺下叶,最终抵达左心室腔前壁。本报告强调了胸部CT扫描在血流动力学稳定的患者中准确、即时检测误发射钉子轨迹以辅助手术规划的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/014a1d280f54/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/9d9d4ec08293/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/6f391280ead0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/71c59cf49770/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/834e6369ed73/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/8dc9183308b6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/f9b8482e372c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/014a1d280f54/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/9d9d4ec08293/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/6f391280ead0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/71c59cf49770/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/834e6369ed73/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/8dc9183308b6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/f9b8482e372c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c22/8403714/014a1d280f54/gr7.jpg

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引用本文的文献

1
Penetrating cardiac trauma caused by a nail-gun: A case report and narrative review.射钉枪所致穿透性心脏创伤:一例报告及病例分析
Trauma Case Rep. 2022 May 1;39:100649. doi: 10.1016/j.tcr.2022.100649. eCollection 2022 Jun.

本文引用的文献

1
Radiologic findings of thoracic trauma.胸部创伤的放射学表现。
Ther Clin Risk Manag. 2017 Aug 26;13:1085-1089. doi: 10.2147/TCRM.S143845. eCollection 2017.
2
Penetrating cardiac trauma: analysis of 240 cases from a hospital in Bogota, Colombia.穿透性心脏创伤:来自哥伦比亚波哥大一家医院的 240 例分析。
World J Emerg Surg. 2017 Jun 12;12:26. doi: 10.1186/s13017-017-0138-1. eCollection 2017.
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Role of imaging in penetrating and blunt traumatic injury to the heart.影像学在穿透性和钝性心脏创伤中的作用。
Radiographics. 2011 Jul-Aug;31(4):E101-15. doi: 10.1148/rg.314095177.
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Penetrating injury of the heart by a nail gun.射钉枪致心脏穿透伤
J Thorac Cardiovasc Surg. 2004 Feb;127(2):598. doi: 10.1016/j.jtcvs.2003.09.041.