心脏外伤的诊断及治疗  

The diagnosis and treatment of cardiac trauma

作　　者：李继勇[1] 张健群[1] 陈宝田[1] 伯平[1] 顾承雄[1] 杨能善[1] 

机构地区：[1]首都医科大学附属北京安贞医院心外科,北京100029

出　　处：《心肺血管病杂志》2007年第3期139-141,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:总结分析心脏外伤的诊断和治疗方法。方法:1989年1月至2006年10月,共收治18例心脏外伤患者,男性15例,女性3例,年龄6～55岁,平均(24.4±8.5)岁,刀刺伤10例,车祸伤5例,枪伤3例;急诊入院9例,门诊入院9例。其中诊断创伤性室间隔缺损7例。18例患者均行手术治疗。结果:术后患者恢复良好,无死亡。结论:心脏外伤应尽快确定诊断,即刻手术,提高抢救成功率。合并的室间隔缺损或瓣膜病变,如果不危及患者生命,可以择期手术,以提高手术成功率,减少并发症。Objective：Key points of diagnasis and treatment of cardiac trauma were analysed. Method：From Jan. 1989 to Oct, 2006, 18 patients with cardiac trauma were treated in our hospital. There were 15 males and 3 females, The mean age was 24.4 ± 8.5 years（6-55 years）. Ten patients had history of puncture wound in the chest, Five patients had crush injury during traffic accidents, Three of them had gun wound. Nine patients were admitted emergently, Traumatic ventricular septal defect was diagnosed in 7 paients. Eighting patients received surgical therapy, Result： All patients recovered smoothly, no death occurred. Conclusion： Early diagnosis and emergent surgical treatment were important in saving the lives of patients with cardiac trauma. For those patients in stable condition, selective operation is indicated.

关 键 词：心脏外伤 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学]