闭合性胸部外伤致心脏破裂16例  

Experience in the surgical treatment of 16 cases of cardiac rupture caused by blunt chest trauma

作　　者：李晓峰[1] 马建欣[1] 刘建伟[1] 雷威[1] 

机构地区：[1]河北省承德市中心医院心胸外科,067000

出　　处：《中国综合临床》2012年第1期100-101,共2页Clinical Medicine of China

摘　　要：目的探讨闭合性胸部外伤致心脏破裂的手术抢救入路与方法。方法2004年1月至2010年12月我院抢救闭合性胸部外伤致心脏破裂患者16例，均采用胸骨正中切口行心脏破裂修补术，分析其效果。结果除1例在体外循环建立前出现心跳停止、手术修补后心肺复苏失败外，余15例全部救治成功。结论闭合性胸部外伤致心脏破裂应及时果断进行抢救和急诊手术，心脏破裂修补术可以提高患者的存活率。Objective To retrospectively analyze the experience in the treatment of cardiac rupture caused by blunt chest trauma and to explore the approaches and methods to improve patient survival. Methods From 2004 to 2010,16 cases of closed chest trauma caused by cardiac rupture ,who were treated in our hospital, were treated by heart repair using median sternotomy incision approach. Results Except for I patient occurred cardiac arrest before the establishment of CPB, who was failed for cardiopulmonary resuscitation after surgical repair,the remaining 15 patients were all successfully treated. Conclusion The diagnosis of cardiac rupture should be made as soon as possible once it occurs. Timely and decisive rescue and emergency surgery should be given. Heart repair can greatly improve the patient＇s survival.

关 键 词：心脏破裂 闭合性胸部外伤 心脏破裂修补术 

分 类 号：R654.2[医药卫生—外科学] R655[医药卫生—临床医学]