心脏穿通伤的临床特点及治疗 |
| |
引用本文: | 田进涛,陈志强,宋小平,陈炎,魏慎海.心脏穿通伤的临床特点及治疗[J].陕西医学杂志,2005,34(2):183-185. |
| |
作者姓名: | 田进涛 陈志强 宋小平 陈炎 魏慎海 |
| |
作者单位: | 清华大学第一附属医院胸外科,北京,100016 |
| |
摘 要: | 目的 :总结心脏穿通伤的诊治经验。方法 :1 2例心脏穿通伤 ,年龄 1 7~ 36岁 ,均合并其它部位损伤。 3例术前行心脏超声检查 ;1 2例均手术治疗。结果 :右心室修补 9例 ,双室修补 2例 ,下腔静脉修补 1例。术中死亡 2例 ,术后死亡 1例。心脏穿通伤的主要特点 :( 1 )休克与出血量不成正比 ;( 2 )右室穿通伤多见 ;( 3)临床表现严重且复杂 ,易被其它损伤掩盖。结论 :及早正确诊断和及时手术是挽救心脏穿通伤患者生命的关键
|
关 键 词: | 心脏/损伤 创伤和损伤/诊断 创伤和损伤/治疗 |
Clinical features and management of penetrating cardiac injuries |
| |
Institution: | Beijing 100016 |
| |
Abstract: | Objective: To evaluate the clinical features and management of penetrating cardiac injuries. Methods: Twelve cases (17-36 years old ) of penetrating cardiac injuries were reviewed. All of them were combined with multiple injuries. Cardiac ultrasonography was performed in 3 cases, and immediate operation in all cases. Results: Nine cases underwent right ventricular repair, 2 cases both ventricular repair and 1 case inferior vena cava repair. The clinical charicteristics of penetrating cardiac injuries were: (1) shock is out of proportion to the bleeding volume; (2) right ventricular injuries are commonly seen; (3) the clinical symptom is usually severe and complicated, and misdiagnosis is quite common. Conclusions: Early diagnosis and prompt surgical intervention are essential for the cure of penetrating cardiac injuries. |
| |
Keywords: | Heart/injuries Trauma and injury/diagnosis Trauma and injury/therapy |
本文献已被 CNKI 维普 万方数据 等数据库收录! |
|