心脏胸主动脉损伤的诊治（附30例分析）

目的总结心脏及胸主动脉损伤的诊治体会，以提高诊治水平。方法回顾性分析30例心脏及胸主动脉损伤患者的诊断、抢救措施、手术要点。结果30例患者中24例抢救成功后均痊愈出院，随访无后遗症发生。4例多发伤患者死于并发症，2例胸主动脉损伤患者术中死亡。结论伤后的及时诊断、术前快速准备、正确的手术入路、术中操作、有效的心肺复苏、避免遗漏合并伤是心脏及胸主动脉损伤获救的关键。

The diagnosis and treatment of cardiac and thoracic aortic injury

Objective To summarize the experience in the treatment of cardiac and thoracic aortic injury.Methods 30 patients with cardiac and thoracic aortic injury from 1996 to 2007 are retrospectively studied,including the diagnosis,preoperative preparation,main points of the operation and cardiopulmonary resuscitation.Results 24 patients were completely cured,having no residual in the follow-up periods.4 patients with multiple wound died of complication.2 patients with thoracic aortic injury died in the operation.Conclusion Prompt diagnosis after injury,fast preoperative preparation,precise operative approach and technique,effective cardiopulmonary resuscitation and refraining from omitting associated injury are the key points to the salvage of cardiac and thoracic aortic injury.