معرفي يك مورد پارگي قلب متعاقب تروماي نافذ قفسه سينه

HEART PERFOARYION DU TO PENETRATING CHEST TRAUMA

Hemorrhagic shock and cardiac temponade are presentation of penetrating chest trauma . CXR cause delay in diagnosis and treatment . Some authors suggest sub xiphoid window for diagnosis . Ressuscitation and thoracotomy for repair of cardiac injury must be done early after penetrating cardiac injury that cause 80 percent of the patients alive. This report is a 8 year old boy with chest stab wound and decreased left lung sound and massive left hemothorax with normal echocargiodraphy . Early thoracotomy was done and laceration of anterior and posterior sides of right ventricle repaired . The patient was discharged after 8 days with good condition.