针线从胸部到心脏的异常快速运动

Changiz Azadi Ahmad Abadi, Hamed Kiani
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摘要

我们在此介绍一名3岁女童,因缝衣针从右肺向心脏方向异常运动进入右心室,造成右侧气胸及右侧出血,造成严重穿透性心内损伤的罕见病例。临床检查,除右肺底音减少外,各项生命体征正常,无心包填塞征象。而且,外部物体被保留在锁骨中线第三根肋骨之间,这很重要。在心脏下部胸透线性图像的简单前后位和侧位图像中,阴影也很明显。这是一个罕见的从右胸到右心室尖的异常针运动,导致肺部问题的病例。在进行必要的诊断检查后,在没有开胸手术和体外循环的情况下,进行了从患者胸部取出针头的手术。最后,术后3天,患者出院,总体情况良好。
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The Abnormal and Rapid Movement of Sewing Needle From Chest Toward Heart
: We herein introduced a 3 years old girl, who is a rare case of penetrating intracardiac damage severely induced by the abnormal movement of a sewing needle form the right lung toward the heart and entering in the right ventricle, which created Right Pneumothorax and right side bleeding. In clinical examinations, all vital symptoms were normal, and there was no sign of Cardiac tamponade, except reduced sound in the right lung base. Also, the external object was retained in the midclavicular line between the third rib, which was significant. In the Simple posterior-anterior and lateral graphics of chest radio opacity linear image on the lower part of the heart, the shadow was also significant. This is a rare case of abnormal needle movement from the right thorax to the right ventricular apex, which caused pulmonary problems. Following necessary diagnostic tests, a surgery was performed to remove the needle from the patient’s chest without open-heart surgery and CPB. Finally, 3 days after the operation, the patient was discharged from the cardiac surgery service in good general condition.
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