Zhonghua wai ke za zhi [Chinese journal of surgery] · 1999
[Cardiac metal foreign body: analysis of 21 cases].
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Xiu Z, Gu C, Yuan Y, Gu T, Yan D, Zhang Z
Аннотация
OBJECTIVE: To improve early diagnosis and clinical treatment of metal foreign body in the heart.
METHODS: In 21 patients, case history, clinical manifestation, chest X-ray film, and echocardiograph were reviewed. 20 patients received operation: emergency exploration (13) and elective operation (7). Four patients were subjected to cardiopulmonary bypass. The other one was not operated on because of absence of symptoms and small foreign body. Foreign bodies mostly bullets, were usually located in the right ventricle. Ventricular fibrillation occurred in 3 patients during operation, two of them were resuscitated.
RESULTS: 20 patients but one recovered, a mortality rate of 5%.
CONCLUSIONS: Early diagnosis, rapid management, and localization of foreign body are essential to the selection of treatment.
METHODS: In 21 patients, case history, clinical manifestation, chest X-ray film, and echocardiograph were reviewed. 20 patients received operation: emergency exploration (13) and elective operation (7). Four patients were subjected to cardiopulmonary bypass. The other one was not operated on because of absence of symptoms and small foreign body. Foreign bodies mostly bullets, were usually located in the right ventricle. Ventricular fibrillation occurred in 3 patients during operation, two of them were resuscitated.
RESULTS: 20 patients but one recovered, a mortality rate of 5%.
CONCLUSIONS: Early diagnosis, rapid management, and localization of foreign body are essential to the selection of treatment.