21例心脏外伤诊治分析  

Analysis of diagnosis and treatment of 21 cases of cardiac trauma

作　　者：胡旭[1,2] 夏道奎[1,2] 刘朝兵[1,2] 吴正国[1,2] 吴真洁[1,2] 

机构地区：[1]宜昌市中心人民医院胸心外科 [2]三峡大学第一临床医学院,湖北宜昌443003

出　　处：《临床急诊杂志》2011年第1期11-13,共3页Journal of Clinical Emergency

摘　　要：目的:总结心脏外伤的诊治经验。方法:回顾性分析21例心脏外伤患者的资料,包括心脏贯通破裂伤8例,心包破裂及心肌未完全穿透伤3例,心脏顿挫伤6例,大血管损伤3例,游走性心脏异物1例。结果:1例患者术后室间隔缺损,1例患者术后脑梗塞,1例术后肺动脉栓塞,无死亡病例。结论:贯穿性心脏损伤、心包填塞病死率高,果断快速的进胸止血,亚临床型、心肌顿挫伤早期诊断与手术至关重要。Objective：To summarize the experience of treatment and diagnosis of 21 cases of cardiac injuries.Method：We had treated 21 patients with cardiac injuries and the data of these patients were analyzed retrospectively.There were 8 cases of penetrating cardiac injuries,3 cases of pericardial rupture and none-penetrating cardiac injuries,6 cases of cardiac condusion,3 cases of great vessel injury and 1 case of migratory cardiac eyewinker.Result：There was one patient with ventricular septal defect,one case of postoperative cerebral infarction,one case of postoperative pulmonary embolism.There were no deaths in our study.Conclusion： It is very important to diagnose the traumatic condition rapidly and correctly.Timely thoracic exploration is the key point to improve the survival rate.

关 键 词：心脏损伤 心脏顿挫伤 心脏填塞 体外循环 

分 类 号：R541[医药卫生—心血管疾病]