Pericardiocentesis followed by thoracotomy and repair of penetrating cardiac injury caused by nail gun injury to the heart
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- 作者：Vasu Chirumamilla ; Kartik Prabhakaran ; Kartik.Prabhakaran@wmchealth.org" class="auth_mail" title="E-mail the corresponding author ; Petrone Patrizio ; John A. Savino ; Corrado P. Marini ; Zobair Zoha
- 关键词：Nail gun ; Pericardiocentesis ; Trauma ; Thoracotomy ; Cardiac injury
- 刊名：International Journal of Surgery Case Reports
- 出版年：2016
- 出版时间：2016
- 年：2016
- 卷：23
- 期：Complete
- 页码：98-100
- 全文大小：689 K
文摘
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Nail gun injuries to the heart are potentially fatal and difficult to recognize.
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Timely recognition and definitive repair of the injury is essential for patient survival.
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Pericardiocentesis using a catheter capable of repeated and/or sustained aspiration/drainage can be a temporizing life-saving measure allowing for definitive repair in a controlled setting.
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Pericardiocentesis must be considered as a bridge to definitive therapy in select cases of penetrating cardiac injury, particularly in rural settings with limited surgeon availability.