心脏、大血管创伤的临床救治  

Clinical treatment of cardiac and aortic injuries

作　　者：陈林[1] 肖颖彬[1] 钟前进[1] 王学峰[1] 陈柏成[1] 陈进劲[1] 曾祥君[1] 

机构地区：[1]第三军医大学附属新桥医院心血管外科,重庆400037

出　　处：《中华创伤杂志》2004年第5期270-272,共3页Chinese Journal of Trauma

摘　　要：目的　探讨心脏、大血管创伤的早期诊断及治疗经验。　方法　回顾急诊手术治疗2 9例心脏、大血管创伤的临床资料 ,分析穿透性损伤和钝性损伤的临床特点 ,以及早期诊断及治疗特点。　结果　全组死亡 3例 ,死亡率为 10 % (3/ 2 9) ,其中闭合性损伤 2例 ,穿透伤 1例 ;其余无并发症 ,痊愈出院 ,随访 6个月～ 10年 ,恢复良好。　结论　心脏、大血管创伤应早期准确诊断 ;加强对急性心脏压塞和 (或 )休克的处理 ,紧急开胸手术是改善预后的关键。Objective To report the clinical experience of early diagnosis and treatment of cardiac or aorta injuries. Methods The data of 29 patients with cardiac or aorta injuries were studied retrospectively. The clinical features of early diagnosis and management was analyzed according to penetrating or blunt cardiac injuries. Results Three patients died in this group,including two with blunt cardiac injury and one with penetrating injury. The total mortality was 10% (3/29). Twenty-six cases followed up for from 6 months to 10 years recovered well with no complications. Conclusion The cardiac or aorta injuries need accurate early diagnosis. Accurate early diagnosis,active management for shock and/or acute cardiac tamponade and emergency thoracotomy are key to prognosis improvement of severe cardiac or aorta injuries.

关 键 词：心脏损伤 大血管创伤 胸部创伤 临床特点 预后 意识障碍 

分 类 号：R654.2[医药卫生—外科学]