心脏破裂伤的诊治  

Diagnosis and treatment of cardiac rupture

作　　者：何斌[1] 廖益清[1] 

机构地区：[1]广东省东莞市樟木头人民医院外二科,523633

出　　处：《岭南现代临床外科》2006年第5期382-383,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨心脏破裂伤的早期诊断和救治方法。方法对7例心脏破裂伤患者临床资料进行回顾性分析。全组患者均为男性,平均年龄32岁。其中心脏穿通伤7例,合并外伤性室间隔缺损1例。7例均为急诊手术治疗。结果5例经手术治疗痊愈出院,死亡2例,其中1例死于术中心跳骤停,另一例术后第5天死于多器官障碍综合征。结论对严重胸部外伤患者应高度警惕心脏破裂可能,早期诊断、果断手术是救治成功的关键。Objective To investigate the early diagnosis and principles of emergency treatment for cardiac rupture. Methods From May 2001 to May 2006,7 cases with cardiac rupture were analyzed retrospectively.Penetrating wound was in all cases.Among them, lcase was associated with traumatic ventricular septal defect. 7 cases underwent emergency operations. Results 5 cases were cured to discharge from hospital. 2 cases died. 1 case died from cardiac arrest during operation. Another 1 case died from multiple organ dysfunction symdrome （MODS） in 5th days after operation. Conclusion Early diagnosis and timely operation are successful keys to emergency treatment of cardiac rupture.

关 键 词：心脏破裂 早期诊断 手术 

分 类 号：R654[医药卫生—外科学]