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慢性室间隔缺损与枪伤后残留子弹:最好不要再次切开旧伤口。

Chronic Ventricular Septal Defect and Retained Bullet After Gunshot: Best Not to Reopen Old Wounds.

作者信息

Florica Ioana Tereza, Santi Nicolas D, Nguyen Elsie T, Luk Adriana

机构信息

Department of Internal Medicine, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada.

Division of Cardiology, Toronto General Hospital/University Health Network, Toronto, Ontario, Canada.

出版信息

JACC Case Rep. 2023 Jul 19;18:101924. doi: 10.1016/j.jaccas.2023.101924.

Abstract

Penetrating cardiac trauma from gunshots is usually fatal. We describe the case of a 62-year-old male presenting with ST-segment elevation myocardial infarction. A retained bullet embedded into the left ventricle was identified incidentally along with a ventricular septal defect from a gunshot wound decades prior. The ventricular septal defect and retained bullet were managed conservatively. ().

摘要

gunshot wounds, the most common of which is the anterior chest wall, followed by the head and neck. Penetrating cardiac trauma from gunshots is usually fatal. We describe the case of a 62-year-old male presenting with ST-segment elevation myocardial infarction. A retained bullet embedded into the left ventricle was identified incidentally along with a ventricular septal defect from a gunshot wound decades prior. The ventricular septal defect and retained bullet were managed conservatively. ()

枪击导致的穿透性心脏创伤通常是致命的。我们描述了一例62岁男性表现为ST段抬高型心肌梗死的病例。偶然发现一枚残留子弹嵌入左心室,同时还有几十年前枪伤所致的室间隔缺损。室间隔缺损和残留子弹均采取保守治疗。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf10/10401112/d2ec2a24bb81/ga1.jpg

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