摘要
目的 总结心脏穿透伤处理体会 ,以改善治疗效果。 方法 复习 11年间收治的 5 6例病历资料 ,对治疗方法和结果作回顾性分析。 结果 本组戮刺伤占 89%。 5 6例均行剖胸术。其中 6 8%术前输液量 <10 0 0ml。仅 2例作术前心包穿刺 ,1例假阴性。 4例术前心跳停搏 ,经紧急剖胸后 3例获救。术后死亡 2例 ,分别因腹部合并伤及脑复苏失败。总生存率 96 4%。 结论 及时诊断并分秒必争地紧急剖胸和准确操作是穿透性心脏损伤获救的关键。不提倡术前大量扩容及心包穿刺。
Objective[WT5”BZ] To assess the management of penetrating cardiac injuries. [WT5”HZ]Methods[WT5”BZ] 56 patients with penetrating wounds of the heart were studied retrospectively. The study lasted for 11 years. [WT5”HZ]Results[WT5”BZ] Stab wounds accounted for 89 3% of the 56 patients. 56 patients underwent thoracotomy. Preoperative infusion was less than 1?000 ml in 68% of the patients. Preoperative pericardiocentesis was done only in 2 patients, of whom one was false negative. Four patients with cardiac arrest soon after arrival were subjected to emergency thoracotomy; three survived. After the operation, 2 patients died of associated abdominal injuries and failure of cerebral resuscitation. The overall survival rate was 96 4%. [WT5”HZ]Conclusions[WT5”BZ] Early diagnosis and prompt thoracotomy are essential to the treatment of penetrating cardiac injuries.Preoperative massive transfusion and pericardiocentesis are not advocated. [WT5”HZ]
出处
《中华外科杂志》
CAS
CSCD
北大核心
2000年第5期358-359,共2页
Chinese Journal of Surgery
