diagnosis and treatment of penetrating cardiac injury one year after thoracic stab wound
نویسندگان
چکیده
in any patient with a history of penetrating thoracic trauma, cardiac injury must be kept in mind. here, we describe a 36 years-old female referred to this hospital with severe chest pain and hypotension. after primary evaluation and suggestion of ami, streptokinase was started for the patient and because of deterioration of vital signs, cardiac surgery consultation was requested. after performing urgent echocardiography, massive pericardial tamponade was detected. visualization of a knife blade on c.x.r and past medical history of thoracic stab injury led to a diagnosis of delayed cardiac tamponade and urgent sternotomy was performed. the blade that had penetrated the right ventricular chamber was extracted. six days after operation, patient was discharged without any problem. this case study suggests the importance of high suspicion to cardiac injury in any patient with chest pain and a history of chest trauma.
منابع مشابه
Penetrating stab injury of the thoracic aorta.
A36-year-old male psychiatric nurse was stabbed in the back with a knife by a patient suffering from acute psychosis. After initial treatment in an outside hospital, he was transferred in stable cardiopulmonary condition to our department because a lung injury was suspected (Figure 1). Computed tomography performed while the knife was still in place showed that the blade had penetrated the prox...
متن کاملA penetrating orbitocranial stab wound.
An unusual case of intracranial penetration of a bread knife through the orbit is described. Despite the proximity of the blade to the internal carotids, the optic nerves and chiasm, and the pituitary the patient survived with only a minimal field defect affecting the eye opposite to the entry site; otherwise no neurological or endocrine deficit was evident.
متن کاملA Penetrating Stab Wound of the Perianal Area Causing a Combined Rectal and Bladder Injury: One Case Report
Although the management of either isolated rectal or bladder injury is no more controversial, their combined effect and their optimal management has been seldom reported in the English literature. From a case report of a 45-year-old male who was found to have a combined bladder and rectal injury secondary to a stab wound of the perianal area, the authors develop a diagnostic and therapeutic alg...
متن کاملEvaluation of penetrating cardiac stab wounds
BACKGROUND The purpose of this study was to identify factors associated with unfavourable outcome following stab wounds to the heart in order to improve selection of patients who may benefit from resuscitative effort. METHODS From February to March, variables were collected from medical records of patients sustaining cardiac trauma. The inclusion criterion was the presence of a penetrating ca...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
مجله دانشگاه علوم پزشکی شهید صدوقی یزدجلد ۱۳، شماره ۴، صفحات ۸۶-۹۰
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023