ﮔﺰارش ﯾﮏ ﻣﻮرد ﺗﺎﻣﭙﻮﻧﺎد ﻧﺎﺷﯽ از ﺗﺮوﻣﺎي ﻧﺎﻓﺬ ﻗﻠﺒﯽ

A Case Report of Cardiac Tamponade after Penetrating Injury

آﺳﯿﺐ ﻧﺎﻓﺬ ﻗﻠﺒﯽ ﯾﮑﯽ از ﺷﺮاﯾﻂ ﺗﻬﺪﯾﺪ ﮐﻨﻨﺪه ﺣﯿﺎت ﻣﯽﺑﺎﺷﺪ. ﺑﯿﺸﺘﺮ ﺑﯿﻤﺎران ﻗﺒﻞ از رﺳﯿﺪن ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﻓﻮت ﻣﯽﻧﻤﺎﯾﻨﺪ و آن دﺳﺘﻪ از ﺑﯿﻤﺎراﻧﯽ ﮐﻪ زﻧﺪه ﻣﯽرﺳﻨﺪ، ﺑﺎﯾﺴﺘﯽ ﺗﺤﺖ ﻣﺪاﺧﻠﻪ ﺟﺮاﺣﯽ ﻓﻮري ﻗﺮار ﮔﯿﺮﻧﺪ. در اﯾﻦ ﻣﻘﺎﻟﻪ ﺑﻪ ﮔﺰارش ﺑﯿﻤﺎر 28 ﺳﺎﻟﻪاي ﺑﺎ ﺗﺮوﻣﺎي ﻧﺎﻓﺬ ﻗﻠﺒﯽ ﻣﯽﭘﺮدازﯾﻢ ﮐﻪ ﺑﺎ ﻋﻼﯾﻢ ﺗﺎﻣﭙﻮﻧﺎد ﻗﻠﺒﯽ ﻣﺮاﺟﻌﻪ ﮐﺮده و در ﺣﯿﻦ ﻋﻤﻞ ﭘﺎرﮔﯽ ﻧﻮك ﺑﻄﻦ ﭼﭗ ﻣﺸﺨﺺ ﮔﺮدﯾﺪ.

Penetrating cardiac injury is one of the most life – threatening conditions. Most patients die before reaching the hospital and those that arrive alive must receive immediate surgical intervention. We report the case of a 28-Years old male with penetrating chest trauma. This case was presented with symptoms of cardiac tamponade and diagnosis during the operation was ruptured left ventricle apex.