摘要
目的通过一例羊角所致心脏破裂胸腹联合伤患儿的救治,探讨在有限的医疗条件下胸腹联合伤的救治。方法总结笔者援非期间,停电且无氧气供应无围术期监护,在手电筒照明下,保留自主呼吸的硬膜外麻醉下救治胸腹联合伤并心脏破裂患儿诊疗经过。结果完成了胸腹腔探查,进行了心脏、胃和膈肌的修补,术后抗感染、营养支持及综合治疗后,患儿顺利康复出院。结论条件有限时,需迅速对病情做出判断,针对胸腹联合伤合并心脏破裂,尽快控制出血、解除心包填塞并进行心脏修补,为挽救生命,必要时可采取非常规措施。
Objective To explore the treatment of thoracoabdominal combined injury in a child with heart rupture caused by sheep horns under limited medical conditions.Methods To summarize the diagnosis and treatment of a child with thoracoabdominal combined injury and cardiac rupture who were treated with epidural anesthesia and having spontaneous breath,and even more there was no oxygen supply and perioperative monitoring during operation.Results After the complete of thoracoabdominal exploration,the repair of heart,stomach and diaphragm,postoperative anti-infection,nutritional support and symptomatic treatment,the little patient recovered successfully.Conclusions Thoracoabdominal injuries combined cardiac rupture requires rapid judgment of the patient’s condition,control of bleeding,discharge cardiac tamponade and cardiac repair as soon as possible.In order to save life,unconventional measures can be used when it is necessary.
作者
贺逢孝
孟鹏
石磊
安维新
蒋治中
吴向阳
He Fengxiao;Meng Peng;Shi Lei;An Weixin;Jiang Zhizhong;Wu Xiangyang(Department of Cardiac Surgery,Lanzhou University Second Hospital,Lanzhou,Gansu 730030,China;Department of Anesthesia,First People's Hospital of Tianshui,Tianshui,Gansu 741000,China;Department of Geriatrics,Jiuquan People's Hospital,Jiuquan,Gansu 735000,China;Department of Rehabilitation,Jiayuguan Traditional Chinese Medicine Hospital,Jiayuguan,Gansu 735100,China)
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2024年第6期774-777,共4页
Chinese Journal of Emergency Medicine
关键词
胸腹联合伤
心脏破裂
心包填塞
有限的医疗条件
Thoracoabdominal injury
Heart rupture
Pericardial tamponade
Limited medical conditions
