Surgical removal of an intracardiac sewing needle in a 13-month-old Chinese girl: report of a case.
Surgical removal of an intracardiac sewing needle in a 13-month-old Chinese girl: report of a case.
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DOI：
10.9738/intsurg-d-14-00166
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发表时间：
2015-03
影响因子：
0.1
通讯作者：
Wang P
中科院分区：
文献类型：
--
作者：
Dong X;Zhai B;Li W;Cui Y;Chen Z;Wang P
缝纫针虽然在心脏穿透伤的病例中很少见，但却具有很高的致死性，尤其是在儿童中，因为这种损伤很难诊断和治疗。我们在此报告一例13个月大的女孩被缝纫针插入心肌而受伤，这是中国大陆的首例报告。这名13个月大的女孩因一系列症状被转诊到我院，包括抽搐、腹泻和咳嗽。胸部X线和超声心动图显示一根针位于主动脉瓣下方，穿过室间隔和主动脉根。在体外循环下进行手术取出针头。未出现出血或心律失常，因此手术结束，患者于术后8天出院。早期诊断和干预被证明是挽救生命的病人与穿透性心脏损伤。我们希望这个案例能为类似情况的处理提供参考。
Sewing needles, albeit rare in the case of penetrating cardiac injury, are highly lethal; especially in children, because the injury is difficult to diagnose and treat. We herein present the case of a 13-month-old girl who was injured by a sewing needle inserted in the myocardium; it is the first report of its kind from mainland China. The 13-month-old girl was referred to our hospital with a range of symptoms, including convulsions, diarrhea, and cough. Chest X-ray and echocardiogram revealed a needle located below the aortic valve, passing through the ventricular septum and aortic root. Surgical removal of the needle was performed under extracorporeal circulation. No hemorrhage or arrhythmia was seen, so the operation was ended, and the patient was discharged 8 days after the surgery. An early diagnosis and intervention proved to be lifesaving for this patient with a penetrating cardiac injury. We hope this case can provide a reference for the treatment of similar situations.