Symbas P N, Symbas P J
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Chest Surg Clin N Am. 1997 May;7(2):343-56.
A missile in the cardiovascular system is a rare complication of a projectile wound. A missile in the heart should be suspected in the patient with a projectile wound of the thorax and in whom, on chest radiography, a missile is seen in the cardiac silhouette. A missile should be suspected in the patient with a projectile wound elsewhere with similar radiographic findings, no exit wound, and no missile in the area of injury. A missile in the arterial system should be suspected when no exit wound and no projectile are seen in the traumatized area. In such a case, radiography of the entire body should be done. The diagnosis of a suspected missile in the cardiovascular system is confirmed by echocardiography or angiography. Treatment should be individualized according to the clinical manifestations of the patient and the site of the missile.
心血管系统内有异物是枪伤的一种罕见并发症。胸部有枪伤且胸部X线检查发现心脏轮廓内有异物的患者，应怀疑心脏内有异物。其他部位有枪伤且有类似X线表现、无出口伤且伤处无异物的患者，也应怀疑有异物。受伤部位未见出口伤及异物时，应怀疑动脉系统内有异物。在这种情况下，应进行全身X线检查。心血管系统疑似有异物通过超声心动图或血管造影来确诊。治疗应根据患者的临床表现和异物所在部位个体化进行。
