title: [Penetrating heart injuries in two butchers].
abstract: Two butchers, men aged 25 and 48 years, sustained a perforating heart injury when they made a vertical cut. They were rushed to hospital. The first patient was haemodynamically stable on arrival. The second had hypotension and cardiac ultrasonography revealed increased fluid in the pericardium; he was subjected to pericardiocentesis. The heart wounds in both patients were sutured via a left-sided anterolateral thoracotomy; the younger had a wound in the left ventricle, the older both a dorsal and a ventral transmural perforation of the right ventricle. Both patients could be discharged after a little over a week in good condition. Employers in abbattoirs should provide protective clothing fastening high enough to prevent heart wounds.
authors.forename: M
authors.initials: M
authors.lastname: Jagers op Akkerhuis
authors.forename: I
authors.initials: I
authors.lastname: Engelberts
authors.forename: P R
authors.initials: PR
authors.lastname: Brink
mesh_terms: D000003:Abattoirs; D000328:Adult; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014951:Wounds, Stab / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy