Cánoves J, Mainar L, Chorro F J, Gimeno V, Bodí V, Egea S, Porres J C, López Merino V
Servicio de Cardiología, Hospital Clínico Universitario, Valencia.
Rev Esp Cardiol. 1997 Oct;50(10):729-32. doi: 10.1016/s0300-8932(97)73290-1.
We report the case of a patient with a gunshot wound in the chest with a multiple small-caliber intrathoracic projectiles. The different noninvasive techniques employed to evaluate the anatomical location of these projectiles are discussed, together with their cardiac structural repercussions. The data provided by a simple chest X-ray, Computed Tomography (CT) and transthoracic echocardiography are commented on. A simple chest X-ray was unable to discern the location of the projectiles, in contrast to CT, which was able to identify both the number of projectiles and their location. The information provided was enhanced by transthoracic echocardiography, particularly in relation to those projectiles situated in anterior cardiac regions.
我们报告了一例胸部枪伤患者，体内有多发小口径胸内弹丸。本文讨论了用于评估这些弹丸解剖位置的不同非侵入性技术，以及它们对心脏结构的影响。同时对简单胸部X光、计算机断层扫描（CT）和经胸超声心动图提供的数据进行了评论。与CT不同，简单胸部X光无法辨别弹丸位置，而CT能够识别弹丸数量及其位置。经胸超声心动图提供的信息进一步完善了诊断，特别是对于位于心脏前部区域的弹丸。
