At 13:04 on February 4, a young patient with a sharp knife wound to the left chest was rushed to the hospital emergency room by colleagues …… 13:09 the patient was taken directly to the operating room …… 13:12 the anesthesiologist completed general anesthesia tracheal intubation on the patient …… 13:15 the surgeon quickly split the patient’s sternum, cut open the pericardium to decompress, decompress the heart, and find the heart rupture to control the hemorrhage …… 13:45 the heart rupture repair was completed and the patient was saved… … The entire medical staff in the operating room could finally breathe a sigh of relief: we had brought the patient back from death. At about 13:00 on February 4, we were having lunch when a 26-year-old young man from Pinglu County was stabbed with a sharp knife in the left front chest. Let’s! With years of experience in rescuing such patients, the deputy chief physician quickly made the diagnosis of cardiac rupture, pericardial tamponade and hemorrhagic shock. The diagnosis was made. The situation was so critical that there was no time for even a cardiac ultrasound or pericardial diagnostic puncture, and the patient’s life had to be saved by immediate open-heart surgery; otherwise, the patient would die in the emergency room at any time. The hospital director instructed: open a green channel, take all measures to try to save the patient’s life. Medical staff ran the patient to the operating room, dispensing with the usual series of routine procedures such as going through admission procedures and family signatures before surgery, and scrambled to perform open-heart surgery as soon as possible. The medical and nursing staff of the surgical anesthesiology department were already on standby, immediately establishing large intravenous access, rapid rehydration, induction of anesthesia, tracheal intubation, preparation of autologous blood recovery machine, and cross-matching of blood. At this time, the patient suffered a cardiac arrest and dilated pupils. The thoracic surgeons quickly opened the chest and found that the pericardium was highly dilated, which was immediately cut open to decompress the pericardium, that is, a large amount of blood and clot overflowed, and the heart resumed beating after decompression of the pericardium. After continued exploration, the wound was found to be located in the anterior wall of the right ventricle, about 3 cm long and longitudinally shaped, broken into the pericardial cavity, and a large amount of blood was ejected from the heart rupture. The doctors calmly and skillfully took measures to compress the wound to temporarily control the bleeding, and with the rhythm of the heartbeat, they quickly closed the heart wound with non-invasive sutures with taping spacers in full mattress to protect the right coronary artery, and the bleeding from the heart quickly stopped. Due to the high blood loss and rapid heartbeat, it was difficult for the doctors to complete the suture repair of the ruptured myocardial wound on a constantly beating heart. Further investigation revealed that the stab wound punctured the left chest wall and broke the cartilage of the 5th rib on the left side, and a large amount of blood accumulated in the chest cavity. Later, autologous blood transfusion, chest wall dilation and closed drainage of the chest cavity were performed. After 2 hours and 40 minutes, the operation was successfully completed. With the heart rupture being repaired, autologous blood transfusion and the application of antihypertensive drugs, the heart rate dropped to 100 beats/min, the blood pressure rose to 120/86 mmHg, and the patient’s vital signs gradually stabilized. The patient was finally pulled back from the death line. After anesthesia resuscitation, he was sent to the ICU ward for monitoring and treatment, and was transferred back to the cardiothoracic surgery ward two days later. On the third day after surgery, the patient was able to eat and get out of bed. After careful treatment and care by the cardiothoracic surgery staff, the patient was discharged on February 26 with a healed incision and complete recovery. Heart rupture injury is an acute and critical condition in thoracic surgery, with a very high mortality rate and a very low success rate of resuscitation. Many patients die before they reach the hospital after the injury. The key to the successful rescue of this patient is the word “fast”: fast delivery, fast diagnosis, fast admission to the operating room, fast anesthesia, fast surgery, fast infusion of fluids and blood, each link must be fast. It also requires doctors to have a high degree of responsibility, excellent technology and fast response ability. It also fully reflects the emergency handling ability of the central hospital in emergency, critical and severe patient rescue and the overall strength and management level of the hospital.