手术治疗心脏穿透伤45例临床观察  

Operative Treatment of 45 Patients with Penetrating Heart Injury

作　　者：王曦[1] 马建强[1] 赵之婧[1] 李旭[1] 

机构地区：[1]昆明医学院第二附属医院胸心血管外科,云南昆明650101

出　　处：《昆明医学院学报》2011年第12期110-113,共4页Journal of Kunming Medical College

摘　　要：目的探讨心脏穿透伤的治疗经验,以提高其治疗水平.方法总结1999年10月至2011年6月胸心血管外科收治住院患者45例,44例急诊手术,1例择期手术治疗,在全麻插管下经左、右胸及正中切口修补心脏裂口后再处理其他脏器损伤.结果 43例顺利康复,术后心脏彩超随访均无心内损伤,心功能良好;死亡2例,存活率95.6%.结论心脏穿透伤应早期及时的诊断,紧急开胸探查,根据伤口部位不同采用相应的切口,挽救患者生命,提高治疗水平.Objective To explore the operative skills and experience in the treatment of penetrating heart injury.Methods Inpatients(45 cases)were enrolled from department of cardiovascular surgery from Oct 1999 to Jun 2011 in our study.All patients had accepted operative treatment.44 cases had accepted emergency operation and 1 case had accepted selective operation.There were 30 cases with left thoracotomy,13 cases with right thoracotomy and 2 cases with center thoracotomy.Results After emergency operation,43 patients without intracranial injury by ultrasonography survived and 2 cases died.The survival rate of 45 cases was 95.6%.Conclusions Early and timely diagnosis and emergency treatment can save the lives of patients with penetrating heart injury.It is important to select operative incision exactly according to different site of hurt.

关 键 词：心脏损伤 外科手术 心包填塞 

分 类 号：R65[医药卫生—外科学]