Department of Surgery, Charles University Faculty of Medicine in Pilsen, University Hospital Pilsen, Czech Republic.
Department of Cardiac Surgery, University Hospital Pilsen, Czech Republic.
Ulus Travma Acil Cerrahi Derg. 2022 Nov;28(11):1641-1644. doi: 10.14744/tjtes.2021.17260.
The authors present the case of a 9-year-old boy who sustained a gunshot injury to the pericardium by an air gun. The penetrative wound to the pericardium was, according to the performed pre-operative diagnostic methods, initially believed to be a penetrative wound into the cardiophrenic angle of the left pleural cavity. The stabilized patient was indicated for an extraction of the projectile through a left anterior minithoracotomy, during which the projectile was found and successfully removed from the pericardium. The limits of pre-operative assessment, optimal treatment procedures, and surgical approaches in pediatric patients with gunshot injuries to the chest and heart are discussed.
作者报告了一例 9 岁男孩被气枪射伤心包的病例。根据术前进行的诊断方法，心包的穿透性伤口最初被认为是穿透性伤口进入左侧胸腔的心膈角。稳定的患者被指示通过左前小开胸术取出弹丸，在此过程中发现并成功地从心包中取出弹丸。讨论了儿童胸部和心脏枪弹伤的术前评估、最佳治疗程序和手术入路的局限性。
