Avtor/Urednik		Kosin, Miro; Geršak, Borut; Hollan, Jiri
Naslov		Poškodba srca z izvijačem pri poskusu samomora - prikaz primera
Prevedeni naslov		Heart injury with a screw-driver in an attempt of suicide - a case report
Tip		članek
Vir		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2000
Obseg		str. 453-6
Jezik		slo
Abstrakt		There are various sequelae of stab chest wounds, more or less dramatic, and the right ventricle is the most commonly injured heart chamber. Clinical recognition of this life threatening condition may be difficult, despite well described physical signs, and the adequate help often still too late. We describe a case of 34 years old psychiatric patient, who attempted suicide, stabbing his left chest with a screw-driver and injuring his heart. Half an hour later, he was brought to the emergency department of the Medical Center of Ljubljana. In his fourth intercostal space on the lett sternal border there was a screw-driver, stabbed into the chest up to its handle. Because the patient was conscious and hemodynamically stable, and there was no bleeding from the wound, we decided to make some preoperative evaluations. Chest roentgenogram showed a long, narrow foreign body with a density of metal, deep inside the left chest and pericardial cavity. Ultrasound of the heart revealed 1 cm thick layer of pericardial effusion without the signs of cardiac tamponade. A median sternotomy was performed, the screw-driver removed and the wound in the anterior wall of the right ventricle closed. The postoperative course was completely uneventful, and on the day seven post op., the patient was transferred to a psychiatric institution for further care.
Deskriptorji		HEART INJURIES SUICIDE, ATTEMPTED WOUNDS, STAB ADULT THORACIC RADIOGRAPHY ECHOCARDIOGRAPHY RESUSCITATION THORACOTOMY PROGNOSIS