高能创伤后多根肋骨骨折所致穿透性心脏损伤：探索性电视辅助胸腔镜手术的效用
Penetrating cardiac injury caused by multiple rib fractures following high-energy trauma: Usefulness of the exploratory video-assisted thoracoscopic surgery.
作者信息
Tetsumoto Keisuke, Takayama Masakazu, Koyama Tadaaki, Kayawake Hidenao, Saito Masao, Nakamura Ken, Takahashi Yutaka, Hamakawa Hiroshi
机构信息
Department of Thoracic Surgery Kobe City Medical Center General Hospital Kobe Japan.
Department of Thoracic Surgery Hyogo Prefectural Amagasaki General Medical Center Amagasaki Japan.
出版信息
Acute Med Surg. 2024 Apr 8;11(1):e938. doi: 10.1002/ams2.938. eCollection 2024 Jan-Dec.
BACKGROUND
Penetrating cardiac injuries are usually fatal and associated with poor survival rates.
CASE PRESENTATION
A 69-year-old man was injured in a motor vehicle accident and suffered from left hemothorax and multiple rib fractures near the heart. A comprehensive assessment raised suspicions of lacerated pericardium and myocardial injury. Consequently, a thoracoscopy was performed 9 h after injury. A penetrating cardiac injury was detected and surgically treated via video-assisted thoracoscopic surgery. The patient recovered uneventfully and was discharged on postoperative day 16.
CONCLUSION
Exploratory video-assisted thoracoscopic surgery may play a key role in the primary diagnosis of patients with high-energy chest traumas with cardiac injury and simultaneously allow for the appropriate surgical interventions.
背景
穿透性心脏损伤通常是致命的，生存率较低。
病例报告
一名69岁男性在机动车事故中受伤，出现左侧血胸和心脏附近多发肋骨骨折。全面评估后怀疑有心包撕裂和心肌损伤。因此，在受伤9小时后进行了胸腔镜检查。发现穿透性心脏损伤，并通过电视辅助胸腔镜手术进行了手术治疗。患者恢复顺利，术后第16天出院。
结论
探索性电视辅助胸腔镜手术可能在心脏损伤的高能胸部创伤患者的初步诊断中起关键作用，同时允许进行适当的手术干预。
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