无症状心脏伤口

Bruno da Costa Medeiros
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引用次数: 1

摘要

一名27岁男性胸前有一处刺伤。患者血流动力学稳定。一开始生命体征正常。呼吸和心音正常。胸部x光片未见血胸或气胸征象。创伤集中评估超声(FAST)阴性。2 h后复查,病情持续明显稳定,仅血压稍低100 × 60 mmHg。第二,FAST是积极的。他有一个点状脑室病变,用水平缝线矫正。我们强调重新评估患者的重要性,并系统地对疑似心脏病变的患者进行FAST或心包窗检查。
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Silent Cardiac Wound
A 27-year-old male had a stab wound on the anterior chest. The patient was hemodynamically stable. Vital signs were normal in the beginning. Breath and cardiac sounds were normal. Chest X-ray revealed no signs of hemothorax or pneumothorax. Focused Assessment Sonography for Trauma (FAST) was negative. Reevaluated after 2 h, he continued apparently stable, and only his blood pressure was a little lower 100 × 60 mmHg. Second FAST was positive. He had a punctate ventricular lesion, corrected with horizontal suture. We reinforce the importance of reevaluation of the patient and systematically do the FAST or pericardial window in patients with suspected cardiac lesion.
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