医源性心脏大血管损伤的诊断与治疗  

The diagnosis and treatment of iatrogenic injury of heart and large vessels

作　　者：刘建林[1] 王兰[1] 李兆志[1] 

机构地区：[1]陕西省西安医科大学第一附属医院心外科,西安700061

出　　处：《急诊医学》1999年第1期23-24,共2页

摘　　要：目的：为减少医源性心脏大血管损伤发生，进一步提高治疗效果。方法：分析了31例医源性心脏大血管损伤的原因，临床表现及治疗方法。其中介入性检查治疗引起心脏穿通伤7例，心脏手术时意外损伤心房、心室及大血管19例，损伤传导系统致Ⅲ度房室传导阻滞5例。主要临床表现是心包填塞和大出血。治疗根据不同的损伤原因而采取了相应的措施。结果：全组死亡6例，余病人治愈。结论：医源性心脏大血管损伤应以手术治疗为主，关键在于手术时机的掌握。Objective: To decrease iatrogenic injury of heart and large vessels and to further improvethe effect of treatment. Methods: The reasons, clinical manifestion and treatment of them were analyzed in31 patients with iatrogenic injury. Among them, penetrating wounds to heart due to percutaneous catheterization in 7 cases, unexpected injury of atrium and ventricle and large vessels in cardiac operation in 18 cases,Ⅲ degree atrioventricular conduction block as a result of conduction system injury in 5 cases. Hemopericardiumand hemorrhage were the main clinical manifestation. The treatment was performed according to different typesof injuries. bo: Six PatienIS died, and the others were cured. Conclusion: operation is tl1e n1ain wayof treatment. The indication of timing of surgery is the key of success.

关 键 词：医源性损伤 心脏血管损伤 诊断 治疗 

分 类 号：R654.2[医药卫生—外科学]