دوره 13، شماره 4 - ( پاییز 1384 )
جلد 13 شماره 4 صفحات 90-86 |
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Forouzan-nia K, Pirayeh haddad F, Soltani M, Zare S. Diagnosis and Treatment of Penetrating Cardiac Injury One Year after Thoracic Stab Wound. JSSU 2005; 13 (4) :86-90
URL: http://jssu.ssu.ac.ir/article-1-710-fa.html
URL: http://jssu.ssu.ac.ir/article-1-710-fa.html
فروزان نیا خلیل، پیرایه حداد فرهاد، سلطانی محمد حسین، زارع صمد. تشخیص و درمان ترومای نافذ قلب یکسال پس از وارد شدن ضربه چاقو. مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد. 1384; 13 (4) :86-90
چکیده: (7639 مشاهده)
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.
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