Abstract: Penetrating heart traumas are immediate life-threatening situations. We present a case report of a 58-year-old man with a foreign body in his right heart. The injury happened while the man was working 14 hours prior to the actual diagnosis. With respect to the size of the foreign body, its close proximity to the right coronary artery, the potential risk of bleeding, embolization, endocarditis or pericarditis, emergency surgical therapy was indicated. The foreign body was successfully removed。

Key words: penetrating cardiac trauma, foreign body, emergency surgery

摘要： 穿透性心脏外伤是最严重的急危重症之一,病情发展迅速,死亡率高。本文报告一例58岁亚临床型的穿透性心脏损伤患者,在14小时以前在切割铁器时受伤并存在右心异物。考虑到异物停留在右室流出道的室间隔上,靠近右冠状动脉,具有心脏破裂再次出血、异物移位造成二次伤害以及心内膜感染、心包炎等潜在风险,我们进行了紧急心脏手术并成功取出心脏内铁屑异物。

关键词: 心脏外伤, 心脏异物, 急诊手术