Pasteuning W H, Wonnink-de Jonge W F, van Berge Henegouwen D P, van der Aa M A, Penn O C
Department of Cardiology, Sint Elisabeth Ziekenhuis, Tilburg, The Netherlands.
J Am Soc Echocardiogr. 1998 May;11(5):483-6. doi: 10.1016/s0894-7317(98)70030-6.
Echocardiography has a role in the management of acute complications of penetrating cardiac trauma. We report the case of a 30-year-old man who sustained a stab wound to the chest. In this case a traumatic perforation of the ventricular septum and the anterior leaflet of the mitral valve caused by a knife occurred without pericardial effusion. The diagnosis was made by transthoracic echocardiography. The ability of transesophageal echocardiography to delineate the intracardiac injuries more precisely helped to guide the surgical procedure.
超声心动图在穿透性心脏创伤急性并发症的处理中发挥着作用。我们报告一例30岁男性胸部刺伤的病例。在此病例中，一把刀导致室间隔和二尖瓣前叶外伤性穿孔，且无心包积液。经胸超声心动图做出了诊断。经食管超声心动图更精确地描绘心脏内损伤的能力有助于指导外科手术。
