Fallbeskrivning : yngling överlevde direktträffar av kniv i hjärta och lunga
(2001) In Lakartidningen 98(24). p.8-2936- Abstract
In Sweden, penetrating injuries to the lung and especially to the heart are fortunately rare. We hereby present a case-report on a young man who was stabbed in the right lung and heart. The paramedics arrived at the scene one minute after the alarm and instituted mechanical ventilation and fluid infusion. Ten minutes later the young man arrived at the emergency department. By then the patient was in deep shock without spontaneous breathing, was darkly cyanotic, showed indeterminately palpable pulses and non-reacting pupils. ECG-monitoring showed sinus-rhythm. Massive fluid infusion was initiated and the adolescent was immediately transported to the operating room. On the way to the operating room the patient's heart arrested. A lateral... (More)
In Sweden, penetrating injuries to the lung and especially to the heart are fortunately rare. We hereby present a case-report on a young man who was stabbed in the right lung and heart. The paramedics arrived at the scene one minute after the alarm and instituted mechanical ventilation and fluid infusion. Ten minutes later the young man arrived at the emergency department. By then the patient was in deep shock without spontaneous breathing, was darkly cyanotic, showed indeterminately palpable pulses and non-reacting pupils. ECG-monitoring showed sinus-rhythm. Massive fluid infusion was initiated and the adolescent was immediately transported to the operating room. On the way to the operating room the patient's heart arrested. A lateral thoracotomy was performed to relieve the cardiac tamponade, and internal heart massage was initiated. Injuries to the lung and heart were reached through sternotomy. Thanks to prompt initial handling by the paramedics and emergency personnel, a trauma-trained senior surgeon and rather direct lines of communication at the small hospital, the young man could return to ordinary activities with neither physical nor neurological deficit.
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- author
- Ekelund, Mikael LU ; Victorin, Anders ; Bergman, Ola ; Nilsson, Stig and Lönroth, Hans
- alternative title
- A case report : young man survived penetrating knife stabs to the heart and lung
- publishing date
- 2001-06-13
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, Critical Care/methods, Emergencies, Heart Injuries/etiology, Heart Massage, Humans, Lung/surgery, Lung Injury, Male, Prognosis, Thoracic Surgical Procedures/methods, Wounds, Stab/etiology
- in
- Lakartidningen
- volume
- 98
- issue
- 24
- pages
- 8 - 2936
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:11449900
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- no
- id
- 7cd9690f-64a7-4cbb-9475-fea0d620eab2
- alternative location
- https://lakartidningen.se/wp-content/uploads/OldPdfFiles/2001/23095.pdf
- date added to LUP
- 2025-07-15 09:27:34
- date last changed
- 2025-07-15 15:30:10
@article{7cd9690f-64a7-4cbb-9475-fea0d620eab2,
abstract = {{<p>In Sweden, penetrating injuries to the lung and especially to the heart are fortunately rare. We hereby present a case-report on a young man who was stabbed in the right lung and heart. The paramedics arrived at the scene one minute after the alarm and instituted mechanical ventilation and fluid infusion. Ten minutes later the young man arrived at the emergency department. By then the patient was in deep shock without spontaneous breathing, was darkly cyanotic, showed indeterminately palpable pulses and non-reacting pupils. ECG-monitoring showed sinus-rhythm. Massive fluid infusion was initiated and the adolescent was immediately transported to the operating room. On the way to the operating room the patient's heart arrested. A lateral thoracotomy was performed to relieve the cardiac tamponade, and internal heart massage was initiated. Injuries to the lung and heart were reached through sternotomy. Thanks to prompt initial handling by the paramedics and emergency personnel, a trauma-trained senior surgeon and rather direct lines of communication at the small hospital, the young man could return to ordinary activities with neither physical nor neurological deficit.</p>}},
author = {{Ekelund, Mikael and Victorin, Anders and Bergman, Ola and Nilsson, Stig and Lönroth, Hans}},
issn = {{0023-7205}},
keywords = {{Adolescent; Critical Care/methods; Emergencies; Heart Injuries/etiology; Heart Massage; Humans; Lung/surgery; Lung Injury; Male; Prognosis; Thoracic Surgical Procedures/methods; Wounds, Stab/etiology}},
language = {{swe}},
month = {{06}},
number = {{24}},
pages = {{8--2936}},
publisher = {{Swedish Medical Association}},
series = {{Lakartidningen}},
title = {{Fallbeskrivning : yngling överlevde direktträffar av kniv i hjärta och lunga}},
url = {{https://lakartidningen.se/wp-content/uploads/OldPdfFiles/2001/23095.pdf}},
volume = {{98}},
year = {{2001}},
}