心脏穿透伤的临床救治(附14例分析)  

Experiences of Treatment in 14 Patients with Penetrating Cardiac Trauma

作　　者：尹宏建 秦勤 

机构地区：[1]湖南省张家界市人民医院心胸外科,湖南张家界427000

出　　处：《航空航天医学杂志》2015年第7期808-810,共3页Journal of Aerospace medicine

摘　　要：目的总结心脏穿透伤的救治经验。方法对救治心脏穿透伤14例,根据外伤史、体表伤口及临床征象进行早期诊断,均急诊手术。结果 11例痊愈,1例术中死于失血性休克,1例术中死于心力衰竭,1例手术后39天死于呼吸循环衰竭。结论心脏穿透伤病情危急,快速明确诊断、迅速及时手术控制出血解除心脏压塞及术后合理治疗是成功救治的关键。Objective To summarize the experience of treatment in the patients with penetrating cardiac trauma. Methods From June 2006 to May 2014, 14 cases of penetrating cardiac trauma had been treated in our hospital. Ac- cording to the history of trauma and surface wound and clinical manifestations for early diagnosis, all received the emer- gency surgery. Results 11 cases recovered, 1 case died of uncontrolled hemorrhagic shock in the operation, 1 case died of cardiac failure in the operation. 1 case died of respiratory and circulatory failure the thirty - ninth day after opera- tion. Conclusions penetrating cardiac trauma is critical condition, and the key point to successful treatment is the rap- idly clear diagnosis, timely surgery to control bleeding, quickly relieve cardiac tamponade and reasonable postoperative treatment.

关 键 词：心脏穿透伤 心脏压塞 休克 急诊手术 

分 类 号：R654.2[医药卫生—外科学]