从外围静脉到右心室的碎片迁移:案例报告
Ram Sharony1, Liran Statlender2, Yaron Shapira3
1Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Hospital, Tel Aviv University, Petah Tikva 49100, Israel.
European heart journal. Case reports
|September 25, 2024
概括
手部受伤的碎片迁移到心脏的右心室. 由于异物体的小尺寸和缺乏症状,选择了保守的方法,突出了罕见的迁移途径.
科学领域:
- 心脏病学 心脏病学
- 创伤外科 手术 创伤外科
- 放射学 放射学是一门学科.
背景情况:
- 异物很少通过静脉血流迁移到心脏.
- 入口部位通常是干,大腿或部.
- 远端肢体透是外体迁移的一个不常见的途径.
研究的目的:
- 报告一个独特的案例,在手部受伤后,碎片迁移到右心室.
- 讨论心脏内内外体的管理.
主要方法:
- 计算机断层扫描 (CT) 扫描以确定异物体的位置和大小.
- 心声造影以评估碎片位置和心脏功能.
- 多学科团队讨论治疗策略.
主要成果:
- 在右心室 (RV) 中发现了一个3×3.5毫米的金属碎片物体.
- 弹片是由于手和前臂的穿透伤害而缩的.
- 心声扫描证实,碎片被固定在RV内,而不会引起额外的病理.
结论:
- 穿透远端四肢的碎片像手一样可以迁移到心脏.
- 对于无症状,小,固定的心内外体,可以采取保守的管理方法.
- 应建议心内外体患者避免磁共振成像 (MRI).
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