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克氏针的心脏移位。病例报告。

The cardiac migration of a Kirschner wire. A case report.

作者信息

Anić D, Brida V, Jelić I, Orlić D

机构信息

Department of Cardiac Surgery, University Hospital of Cardiovascular Diseases, Zagreb, Croatia.

出版信息

Tex Heart Inst J. 1997;24(4):359-61.

PMID:9456492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325482/
Abstract

In June of 1995, a 48-year-old woman was admitted to an outlying hospital with a history of stomach pain several weeks in duration. A few years before, she had undergone orthopedic surgery because of bilateral coxarthrosis. Total endoprosthesis had been implanted at both hips. Chest radiography showed a metal foreign body (apparently a Kirschner wire) in the heart, whereas right-hip radiography showed no Kirschner wire. Echocardiography indicated that the wire was in the right ventricle. The patient underwent open-heart surgery, and the 5-cm-long Kirschner wire was removed from the right ventricle through a right atriotomy. To the best of our knowledge, this is the only reported instance of intracardiac embolization of a Kirschner wire.

摘要

1995年6月,一名48岁女性因持续数周的胃痛病史入住一家偏远医院。几年前,她因双侧髋关节病接受了骨科手术,双侧髋关节均植入了全髋关节假体。胸部X线检查显示心脏内有金属异物(显然是一根克氏针),而右髋关节X线检查未显示克氏针。超声心动图显示该金属丝位于右心室。患者接受了心脏直视手术,通过右心房切开术从右心室取出了这根5厘米长的克氏针。据我们所知,这是克氏针心脏内栓塞的唯一报告病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/5966478f1a25/thij00027-0131-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/e03646584806/thij00027-0130-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/0676fbe60f6a/thij00027-0130-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/9879e3c62df4/thij00027-0130-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/77dee66402d5/thij00027-0131-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/4849825a8fe2/thij00027-0131-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/5966478f1a25/thij00027-0131-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/e03646584806/thij00027-0130-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/0676fbe60f6a/thij00027-0130-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/9879e3c62df4/thij00027-0130-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/77dee66402d5/thij00027-0131-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/4849825a8fe2/thij00027-0131-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263e/325482/5966478f1a25/thij00027-0131-c.jpg

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本文引用的文献

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Echocardiographically guided removal of an intracardiac foreign body.超声心动图引导下取出心内异物。
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External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication.因克氏针从髋部向骨盆顺行异常迁移导致的髂外动脉-阑尾瘘:一种未报道的并发症
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Intracardiac migration of a Kirschner wire: case report and literature review.心内克氏钢丝迁移:病例报告及文献复习。
Int J Cardiovasc Imaging. 2011 Dec;27 Suppl 1:85-8. doi: 10.1007/s10554-011-9977-0. Epub 2011 Nov 19.
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Early intrathoracic migration of Kirschner wires used for percutaneous osteosynthesis of a two-part humeral neck fracture: a case report.用于两部分型肱骨干骨折经皮骨固定的克氏针早期胸腔内移位:1例报告
Emerg Radiol. 2004 Aug;11(1):49-52. doi: 10.1007/s10140-004-0361-4. Epub 2004 Jul 6.