心脏锐器伤的诊治与感染的预防  

Diagnosis and treatment of cardiac trauma by sharp instruments and infection prevention

作　　者：谢荣景 马永峰 赵长虹 刘占豪 张冬 要莉莉 

机构地区：[1]沧州市人民医院胸外科,河北沧州061000

出　　处：《中华医院感染学杂志》2011年第3期466-467,共2页Chinese Journal of Nosocomiology

摘　　要：目的分析心脏锐器伤的诊治方法及感染的预防。方法医院1999年7月-2010年6月共收治36例心脏锐器伤患者,均为刀刺伤,入院后均行急诊手术治疗和围术期感染预防。结果全组36例患者中,28例治愈出院,治愈率为77.8%,死亡8例,死亡率为22.2%,死亡8例均为穿透性心脏损伤者;存活的28例患者无继发感染,无二次开胸。结论心脏外伤特别是穿透性心脏损伤患者,果断开胸手术是抢救成功的关键;同时要提高围术期感染的预防意识,以加快患者恢复进程。OBJECTIVE To summarize the measures for diagnosis and treament of cardiac trauma by sharp instrument and to prevent infection.METHODS A total of 36 cases of cardiac trauma by sharp instrument were treated from Jul.1999 to Jun.2010 in hospital.There were 35 males and 1 female.The mean age was 24.6 years（12-41 years）.All cases had history of puncture wound in the chest and received emergent surgical therapy.RESULTS Among all the 36 cases,28 cases recovered smoothly with the cure rate of 77.8%,8 cases died of penetrating cardiac trauma with the mortality of 22.2%,and there were no secondary infections and thoracotomy occurred among the survived 28 cases.CONCLUSION Thoracotomy is crucial to the success of rescuing the cardiac trauma,especially the patients with penetrating cardiac trauma.At the same time,to prevention of infection perooperation can accelerate the recovery process.

关 键 词：心脏损伤 诊治 急诊手术 感染预防 

分 类 号：R181.32[医药卫生—流行病学]