WordNet

a plane figure with rounded sides curving inward at the top and intersecting at the bottom; conventionally used on playing cards and valentines; "he drew a heart and called it a valentine"
the courage to carry on; "he kept fighting on pure spunk"; "you havent got the heart for baseball" (同)mettle, nerve, spunk
an inclination or tendency of a certain kind; "he had a change of heart" (同)spirit
a playing card in the major suit that has one or more red hearts on it; "he led the queen of hearts"; "hearts were trumps"
the locus of feelings and intuitions; "in your heart you know it is true"; "her story would melt your bosom" (同)bosom
the hollow muscular organ located behind the sternum and between the lungs; its rhythmic contractions move the blood through the body; "he stood still, his heart thumping wildly" (同)pump, ticker
a firm rather dry variety meat (usually beef or veal); "a five-pound beef heart will serve six"
able to perceive sound
an opportunity to state your case and be heard; "they condemned him without a hearing"; "he saw that he had lost his audience" (同)audience
(law) a proceeding (usually by a court) where evidence is taken for the purpose of determining an issue of fact and reaching a decision based on that evidence
the ability to hear; the auditory faculty; "his hearing was impaired" (同)audition, auditory sense, sense of hearing, auditory modality
a session (of a committee or grand jury) in which witnesses are called and testimony is taken; "the investigative committee will hold hearings in Chicago"
any physical damage to the body caused by violence or accident or fracture etc. (同)hurt, harm, trauma
an act that causes someone or something to receive physical damage
wrongdoing that violates anothers rights and is unjustly inflicted
an accident that results in physical damage or hurt (同)accidental injury
receive a communication from someone; "We heard nothing from our son for five years"
examine or hear (evidence or a case) by judicial process; "The jury had heard all the evidence"; "The case will be tried in California" (同)try
perceive (sound) via the auditory sense

PrepTutorEJDIC

〈C〉『心臓』;胸 / 〈C〉(感情の中心をなす)『心』,気持ち / 〈U〉愛情,同情 / 〈U〉『勇気』,元気,熱意 / 《the ~》『中心』,内部,(物事の)本質,核心 / 〈C〉ハート形の物;(カードの)ハートの札
〈U〉『聴力』,聴覚〈U〉〈C〉(…を)『聞くこと』,(…の)聞き取り《+『of』+『名』》・〈C〉聞いてもらう機会,聞いてやること・聴取・聴聞会〈C〉(法廷などでの)尋問,審問,;(刑罰の減免を求める)釈明,意見陳述 / 〈U〉聞こえる距離(範囲)
『負傷』,『損害』,損傷 / (名誉などを)傷つけること,侮辱《+『to』+『名』》
〈音〉‘が'『聞こえる』,‘を'聞く(進行形にできない) / 〈人の言うこと〉‘に'『耳を傾ける』,‘を'注意深く聞く(listen);(裁判官などが)…の申し立てを聞く / 〈うわさ・ニュースなど〉‘を'『耳にしている』,聞いている / 『耳が聞こえる』 / 《しばしば命令形で》耳を傾ける,注意を向ける / 『うわさ』(『消息』)『を聞く』
(寒さなど)突き刺すような / 見抜く,洞察力のある / (声などが)よく通る

UpToDate Contents

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1. 成人における貫通性胸部外傷の初期評価およびマネージメント initial evaluation and management of penetrating thoracic trauma in adults
2. 心停止または外傷性心臓損傷後の緊急手術のための麻酔 anesthesia for emergency surgery after cardiac arrest or traumatic cardiac injury
3. 蘇生のための開胸術：手技 resuscitative thoracotomy technique
4. 腹部および胸部外傷を有する成人における緊急超音波検査 emergency ultrasound in adults with abdominal and thoracic trauma
5. 鈍的外傷による心損傷 cardiac injury from blunt trauma

English Journal

Asymptomatic Gunshot Wound to the Heart With Retained Intracardiac Pellet.

Mills EE1, Birnbaum PL2, Davis JW3.Author information 1Department of Surgery, University of California, San Francisco-Fresno, Fresno, California. Electronic address: emills@fresno.ucsf.edu.2Department of Surgery, Community Regional Medical Center, Fresno, California.3Department of Surgery, University of California, San Francisco-Fresno, Fresno, California.AbstractA 20-year-old man was transferred to our institution with multiple penetrating thoracoabdominal wounds from a shotgun. Imaging revealed several retained shotgun pellets, 1 of which appeared to be located in the left atrium. He was asymptomatic from a cardiac standpoint and was first taken to the operating room to manage his multiple abdominal injuries. Neither an intraoperative echocardiogram nor a formal postoperative echocardiogram definitively determined pellet location (myocardium versus chamber). Because of concerns for pellet embolus from left atrial positioning, the patient was returned to the operating room. After placing the patient on cardiopulmonary bypass, the pellet was identified within the wall of the left atrium and was successfully removed without complication.
The Annals of thoracic surgery.Ann Thorac Surg.2014 Jan;97(1):e15-6. doi: 10.1016/j.athoracsur.2013.08.023.
A 20-year-old man was transferred to our institution with multiple penetrating thoracoabdominal wounds from a shotgun. Imaging revealed several retained shotgun pellets, 1 of which appeared to be located in the left atrium. He was asymptomatic from a cardiac standpoint and was first taken to the ope
PMID 24384215

Assessment of hypovolaemic shock at scene: is the PHTLS classification of hypovolaemic shock really valid?

Mutschler M, Nienaber U, Münzberg M, Fabian T, Paffrath T, Wölfl C, Bouillon B, Maegele M.Author information Department of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University of Witten/Herdecke, , Cologne, Germany.AbstractOBJECTIVE: Validation of the classification of hypovolaemic shock suggested by the prehospital trauma life support (PHTLS) in its sixth student course manual.
Emergency medicine journal : EMJ.Emerg Med J.2014 Jan;31(1):35-40. doi: 10.1136/emermed-2012-202130. Epub 2013 Jan 8.
OBJECTIVE: Validation of the classification of hypovolaemic shock suggested by the prehospital trauma life support (PHTLS) in its sixth student course manual.METHODS: Adults, entered into the TraumaRegister DGU(®) database between 2002 and 2011, were classified into reference ranges for heart rate
PMID 23302502

A straight left heart border: a new radiological sign of a hemopericardium.

Nicol AJ, Navsaria PH, Beningfield S, Kahn D.Author information Trauma Centre, Department of Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Cape Town, 7925, South Africa, andrew.nicol@uct.ac.za.AbstractBACKGROUND: Detection of a cardiac injury in a stable patient after a penetrating chest injury can be difficult. Ultrasound of the pericardial sac may be associated with a false negative result in the presence of a hemothorax. A filling in of the left heart border inferior to the pulmonary artery, called the straight left heart border (SLHB), is a radiological sign on chest X-ray that we have found to be associated with the finding of a hemopericardium at surgery. The aim of the present study was to determine if this was a reliable and reproducible sign.
World journal of surgery.World J Surg.2014 Jan;38(1):211-4. doi: 10.1007/s00268-013-2242-z.
BACKGROUND: Detection of a cardiac injury in a stable patient after a penetrating chest injury can be difficult. Ultrasound of the pericardial sac may be associated with a false negative result in the presence of a hemothorax. A filling in of the left heart border inferior to the pulmonary artery, c
PMID 24091638

Japanese Journal

経皮的心肺補助で蘇生し心拍動下手術を行った穿通性心外傷

青木賢治,渡邉マヤ,大関一
胸部外科 61(12), 1015-1018, 2008-11-00
NAID 40016303724

完全に心臓内に埋没した異物(針)の1例

田村健太郎,杭ノ瀬昌彦,吉鷹秀範,津島義正,南一司,都津川敏範,小澤優道
日本心臓血管外科学会雑誌 37(4), 244-246, 2008-07-15
症例は23歳男性,精神発達遅滞で2度の自傷行為歴がある.胸痛を主訴に近医を受診した.左前胸部に約3mmの刺創を認め,胸部CT検査で心臓内異物を認めたため穿通性心損傷の診断で当院を受診した.異物除去目的で緊急手術を行った.胸骨正中切開アプローチで心嚢に到達すると異物(針)は完全に心臓内に埋没しており心嚢内に見つけることができなかった.検索のため心臓を脱転した際,偶然後壁に異物感を触知した.用手圧迫し …
NAID 110006825781