| 心脏锐器伤并心包压塞的诊治探讨 |
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| 引用本文： | 赵国贤,季武,李航. 心脏锐器伤并心包压塞的诊治探讨[J]. 贵州医药, 2003, 27(6): 495-496 |
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| 作者姓名： | 赵国贤 季武 李航 |
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| 作者单位： | 贵州省安顺市人民医院外1科,561000 |
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| 摘 要： | 目的 探讨心脏锐器伤并心包压塞的诊治。方法 对我院1982-2001年诊治的13例心脏锐器伤的临床资料进行回顾性分析。结果 12例手术治疗，其中11例治愈，1例因术后脑死亡而终止治疗，1例保守治愈。结论 单纯心包伤合并少量心包积血在监护下，可保守治疗;心脏锐器伤并心包压塞如伴有创伤性窒息，提示心包压塞程度严重。
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| 关 键 词： | 心脏锐器伤 心包压塞 三联征 超声心动图 胸部X线检查 手术治疗 左胸前外侧切口 创伤性窒息 |
Diagnosis and treatment of injured heart by sharp instrument with pericardid tamponade |
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| ZhaoGuoxian,Ji Wu,Li Hang. Dept Of surgery,the People's Hospital of Anshun. City,Guizhou Province,Anshun. Diagnosis and treatment of injured heart by sharp instrument with pericardid tamponade[J]. Guizhou Medical Journal, 2003, 27(6): 495-496 |
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| Authors: | ZhaoGuoxian Ji Wu Li Hang. Dept Of surgery the People's Hospital of Anshun. City Guizhou Province Anshun |
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| Affiliation: | ZhaoGuoxian,Ji Wu,Li Hang. Dept Of surgery,the People's Hospital of Anshun. City,Guizhou Province,Anshun 561000 |
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| Abstract: | Objective To probe the diagnosis and treatment of heart injured by sharp instrument with pericardid tamponade. Methods A retrospective analysis of 13 clinical cases of injured heart by sharp instrument in the hospital from 1982 to 2001 . Results 12 cases were treated by operation, out of which 11 were cured successfully, the treatment of one case was stopped when the brain was dead after operation, another one was cured conservatively. Conclusions The simple trauma of pericardium combined with small amount of hemopericardium could be treated by non - operation. An injured heart caused by sharp instrument with pericardid tamponade, if accompanied fraumatic asphyxia indicates severe pericardid tamponade. |
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| Keywords: | Heart Sharp instrument injury Pericardid tamponade |
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