| 濒死的失血休克型心脏穿透伤急诊室剖胸成功1例报告 |
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| 引用本文： | 吴旭,王武军,桑显富,胡振富,陈钢,陈东升,郭刚,向前,田柯,彭月华.濒死的失血休克型心脏穿透伤急诊室剖胸成功1例报告[J].南方医科大学学报,2002,22(10):918-918,921. |
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| 作者姓名： | 吴旭 王武军 桑显富 胡振富 陈钢 陈东升 郭刚 向前 田柯 彭月华 |
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| 作者单位： | 1. 第一军医大学南方医院,胸外科,广东广州,510515
2. 第一军医大学南方医院,急诊科,广东广州,510515 |
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| 摘 要： | 患者男,23岁,被刀刺伤,左胸第4肋间4 cm伤口,血压0/0 kPa,处于濒死状态。伤后16 min经左前外侧切口第4肋间行急诊室剖胸术,探查见:胸腔积血2 500 ml,心包4 cm伤口,心脏2 cm伤口,左肺上叶5 cm伤口。4 min内成功地用心包做垫片缝合心脏3针。病人8 d后痊愈出院。
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| 关 键 词： | 创伤 刺戳 心脏损伤 休克 出血性 濒死 急诊室剖胸术 |
| 文章编号： | 1000-2588(2002)10-0918-01 |
| 修稿时间： | 2002年8月8日 |
Successful resuscitation by emergency room thoractomy in a patient in agonal state with hemorrhagic shock resulting from penetrating cardiac injury |
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| WU Xu ,WANG Wu-jun ,SANG Xian-fu ,HU Zhen-fu ,CHEN Gang ,CHEN Dong-sheng ,GUO Gang ,XIANG Qian ,TIAN Ke ,PENG Yue-hua.Successful resuscitation by emergency room thoractomy in a patient in agonal state with hemorrhagic shock resulting from penetrating cardiac injury[J].Journal of Southern Medical University,2002,22(10):918-918,921. |
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| Authors: | WU Xu WANG Wu-jun SANG Xian-fu HU Zhen-fu CHEN Gang CHEN Dong-sheng GUO Gang XIANG Qian TIAN Ke PENG Yue-hua |
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| Institution: | WU Xu 1,WANG Wu-jun 1,SANG Xian-fu 2,HU Zhen-fu 2,CHEN Gang 1,CHEN Dong-sheng 2,GUO Gang 2,XIANG Qian 2,TIAN Ke 2,PENG Yue-hua 11 Department of Thoracic Surgery,2 Depar |
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| Abstract: | A 23-year-old male patient, who was stabbed in the left chest at the fourth intercostal space leaving a 4-cm wound, was in agonal state with blood pressure of 0/0 kPa when admitted. The patient underwent emergency room thoractomy on stretcher through the left fourth intercostal anterior lateral incision16 min after injury. The exploration revealed 2 500 ml blood in the plural cavity, 4-cm wound in the pericardium, 2-cm wound in the right ventricle of the heart without asystole, and 5-cm wound in the left upper lobe of the lung. Within 4 min the wound in the heart was sutured with the pericardium as the backing. The patient was discharged with full recovery 8 d after injury. |
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| Keywords: | wounds stab heart injury strock hemorrhagic agonal protocol emergency room thoractomy |
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