CLINICAL CASE REPORT: SURGERY ON A PATIENT WITH SELF-INFLICTED HEART AND LUNG INJURIES COMBINED WITH DETERGENT-INDUCED ESOPHAGEAL BURN

Hoàng Mạnh Vững1,, Nguyễn Hải Ghi1
1 108 Military Central Hospital

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Abstract

Overview: Cardiac penetrating injuries are rare but are more dangerous and fatal. The reported pre-hospital mortality rate of cardiac penetrating injury was 94%, and the in-hospital mortality rate was 50%. Emergency treatment and urgent surgery are important in saving lives and improving prognosis. We report one successfully operated patient with self-inflicted heart and lung injuries combined with a detergent-induced esophageal burn. Clinical case: A 46-year-old male patient was admitted to the emergency room with knife wounds to the left and right chest. The patient was immediately brought into the operating room for surgery without immediate removal of the foreign body. The patient underwent emergency surgery, sutured the lung parenchyma, and reconstructed the left ventricular wall. Discussion: Early diagnosis and prompt surgery are important factors for patients with cardiac injury. Hemostasis must be performed patiently step by step without immediate removal of the foreign body. Conclusion: This case highlights the importance of prompt surgical treatment to save the lives of patients with severe thoracic injuries.

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References

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