| 小切口在心脏刀刺伤急诊剖胸心脏修补术中的应用 |
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| 引用本文： | 李成福 高美花 李君哲 李星云 车成日 朴志刚. 小切口在心脏刀刺伤急诊剖胸心脏修补术中的应用[J]. 中华现代外科学杂志, 2005, 2(21): 1957-1958 |
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| 作者姓名： | 李成福 高美花 李君哲 李星云 车成日 朴志刚 |
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| 作者单位： | [1]延边大学医学院附属医院胸心外科,吉林延吉133000 [2]延边大学医学院附属医院急诊内科,吉林延吉133000 |
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| 摘 要： | 目的介绍小切口在心脏刀刺伤时急诊剖胸手术中的应用。方法对心脏刀刺伤后病情处于亚临床状态的21例病人，切开胸壁皮肤8-10cm，沿伤口路径，小切口进胸施行心脏修补。术前确诊19例。伤口位于右侧6例，左侧15例；右心房6例，右心室12例，左心室3例。其中心脏穿透伤13例。结果无手术并发症和手术死亡。结论小切口可以应用于心脏刀刺伤急诊剖胸心脏修补术中，但不适合危重、复杂的心脏损伤。
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| 关 键 词： | 心脏损伤 急诊 小切口 |
| 文章编号： | 1681-102X（2005）21-1957-02 |
| 收稿时间： | 2005-11-21 |
Emergency minimal incision approach in repairing cardiac rupture for stab cardiac injury |
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| LI Cheng -fu, GAO Mei - hua, LI Jun - zhe,et al.. Emergency minimal incision approach in repairing cardiac rupture for stab cardiac injury[J]. , 2005, 2(21): 1957-1958 |
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| Authors: | LI Cheng -fu GAO Mei - hua LI Jun - zhe et al. |
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| Affiliation: | LI Cheng -fu, GAO Mei - hua, LI Jun - zhe, et al. |
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| Abstract: | Objective To review the experience of repairing cardiac rupture via mini -thoracotomy for stab cardiac injury in emergency. Methods Twenty - one cases which were haemodynamically stable after stab cardiac injuries underwent repairing cardiac injuries by prolonged lacerations of thoracic wall 8 - 12cm. Nineteen cases were diagnosed before operation. The lacerations located right side were 6 cases, left 15;right atrium 6, right ventricles 12, left ventricles 3. Thirteen cases had penetrating cardiac injuries. Results There was no operative mortality and morbidity. Conclusion Minimal incision is useful in repairing cardiac injury, but it is not a valuable method for severe,complex cardiac rupture. |
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| Keywords: | cardiac injury emergency minimal incision |
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