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題 名 | Intracardiac Migration of a Steinman Pin Following Fixation of Clavicular Fracture: A Case Report=鎖骨骨折接受內固定手術後造成Steinman Pin之心臟內滑移:病例報告 |
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作 者 | 莊家榮; 洪國峻; 李國禎; 李世俊; 蔡建松; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 33:5 民89.09-10 |
頁 次 | 頁234-240 |
分類號 | 416.26 |
關鍵詞 | 鎖骨骨折; 內固定手術; 心臟內滑移; Steinmann pin; Intracardiac migration; Clavicular fracture; |
語 文 | 英文(English) |
中文摘要 | 本文報告一體內植入金屬鋼釘後造成心臟內滑移之病例。此23歲男性病人出現間歇性胸悶、胸骨後疼痛、肋膜不適等症狀,尤其於深吸氣時更為明顯。患者除了於14個月前,因右側鎖骨中段骨折接受開放性復位與Steinmanng氏鋼釘內固定手術外,並無其他心肺疾病。胸部X光攝影顯示於心臟圇廓內有一異位之鋼釘。心臟超音波及胸腔電腦斷層掃瞄亦發現一金屬異物於左心室中。病患經胸骨切開手術後,順利由肺動脈幹根部將此包埋於心肌內之7公分長鋼釘取出,且術後恢復狀況良好,並無其他合併症發生。此病例報告再次強調鎖骨固定用之金屬植入物造成滑移之危險性,且臨床醫師應明瞭胸腔周邊置入骨科鋼釘後滑移之潛在併發症。 |
英文摘要 | A case of intracardiac migration of a metallic pin is reported here. A 23-year-old man experienced intermittent onset of chest tightness, retrosternal pain, and pleuritic discomfort worsened with deep inspiration following a heavy duty in the Army. Apart from the operation of open reduction with an internal Steinmann pin fixation due to the medial fracture of his right clavicle fourteen months ago, the patient had no any medical records of cardiac or pulmonary disease. A plain chest radiograph revealed the malposition of a pin over the cardiac silhouette. Echocardiography as well as CT scan showed the retention of a metallic foreign body in the left ventricle. A 7-cm-long Steinmann pin penetrating through the root of the main pulmonary artery into the left heart chamber was removed successfully via sternotomy. The postoperative course was uneventful without any complications. The cases reported in the English literature are reviewed to reemphasize the hazards of migration of the metallic devices used for clavicle or shoulder fixation, and all clinicians should be aware of this migration of pin or wire as a potential candidate of complication after the implantation of orthopedic material near thoracic cavity. |
本系統中英文摘要資訊取自各篇刊載內容。