Nakahara Ko, Fujii Masahiro, Chino Shuji, Komatsu Masaki, Ichimura Hajime, Yamamoto Takateru, Ohashi Noburo, Fuke Megumi, Wada Yuko, Seto Tatsuichiro
Department of Cardiovascular Surgery, Shinshu University, Matsumoto, Japan.
Kyobu Geka. 2022 Aug;75(8):593-597.
A 41-year-old man stuck himself with needle through his pericardium during suicide attempt. Chest radiography revealed several needles in the bilateral lung fields as well. Computed tomography (CT) and echocardiography showed massive pericardial effusion and a needle penetrating the pericardium. The patient was initially treated conservatively, including pericardial drainage, and, seven days later, we removed the needle using syngo Needle Guidance in hybrid operating room. The length of skin incision was only 2 cm, and the postoperative course was uneventful. No previous studies, to the best of our knowledge, have shown the use of syngo Needle Guidance to remove a needle in the pericardial cavity. This surgical procedure is minimally invasive for the patient.
一名41岁男子在自杀未遂时用针穿过了自己的心包。胸部X线检查显示双侧肺野也有几根针。计算机断层扫描（CT）和超声心动图显示大量心包积液以及一根针穿透心包。患者最初接受了保守治疗，包括心包引流，七天后，我们在杂交手术室使用syngo针引导技术取出了针。皮肤切口长度仅为2厘米，术后过程顺利。据我们所知，此前没有研究表明使用syngo针引导技术在心包腔内取出针。这种手术对患者来说是微创的。
