10例心脏大血管创伤的早期救治  

Early treatment of 10 cases cardiac or aorta injuries

作　　者：沈慧松[1] 陈建乐[1] 

机构地区：[1]泗洪县人民医院胸外科,江苏泗洪223900

出　　处：《医学信息（手术学分册）》2008年第5期412-413,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的探讨心脏大血管创伤的早期诊断及治疗经验。方法回顾急诊手术治疗10例心脏大血管创伤的临床资料,分析穿透性损伤和钝性损伤的临床特点,以及早期诊断及治疗特点。结果全组死亡1例,死亡率10%(1/10)。9例痊愈出院。结论心脏大血管创伤应早期准确诊断,加强对急性心脏压塞和休克的处理,紧急剖胸手术是救治成功的关键。Objective To report the clinical experience of early diagnosis and treatment of cardiac or aorta injuries. Methods The data of 10 patients with cardiac or aorta injuries were studied retrospectively. The clinical features of early diagnosis and management was analyzed according to penetrating or blunt cardiac injuries. Results One patient died in this group, the total mortality was 10% （1/10）. Nine cases recovered well with no complications. Conclusions The cardiac or aotra injuries need accurate early diagnosis. Accurate early diagnosis, active management for shock and acute cardiac tamponade and emergency thoracotomy are key to prognosis improvement of severe cardiac or aorta injuries.

关 键 词：心脏 大血管 创伤和损伤 

分 类 号：R654.2[医药卫生—外科学]