心脏穿通伤的临床特点及治疗 | |
田进涛 ; 陈志强 ; 宋小平 ; 陈炎 ; 魏慎海 ; Tian Jintao ; Chen Zhiqiang ; Song Xiaoping ; Chen Yan ; Wei Shenhai | |
2010-06-09 ; 2010-06-09 | |
关键词 | 心脏/损伤 创伤和损伤/诊断 创伤和损伤/治疗 Heart/injuries Trauma and injury/diagnosis Trauma and injury/therapy R654.2 |
其他题名 | Clinical features and management of penetrating cardiac injuries |
中文摘要 | 目的 :总结心脏穿通伤的诊治经验。方法 :1 2例心脏穿通伤 ,年龄 1 7~ 36岁 ,均合并其它部位损伤。 3例术前行心脏超声检查 ;1 2例均手术治疗。结果 :右心室修补 9例 ,双室修补 2例 ,下腔静脉修补 1例。术中死亡 2例 ,术后死亡 1例。心脏穿通伤的主要特点 :( 1 )休克与出血量不成正比 ;( 2 )右室穿通伤多见 ;( 3)临床表现严重且复杂 ,易被其它损伤掩盖。结论 :及早正确诊断和及时手术是挽救心脏穿通伤患者生命的关键; Objective: To evaluate the clinical features and management of penetrating cardiac injuries. Methods: Twelve cases (17-36 years old ) of penetrating cardiac injuries were reviewed. All of them were combined with multiple injuries. Cardiac ultrasonography was performed in 3 cases, and immediate operation in all cases. Results: Nine cases underwent right ventricular repair, 2 cases both ventricular repair and 1 case inferior vena cava repair. The clinical charicteristics of penetrating cardiac injuries were: (1) shock is out of proportion to the bleeding volume; (2) right ventricular injuries are commonly seen; (3) the clinical symptom is usually severe and complicated, and misdiagnosis is quite common. Conclusions: Early diagnosis and prompt surgical intervention are essential for the cure of penetrating cardiac injuries. |
语种 | 中文 ; 中文 |
内容类型 | 期刊论文 |
源URL | [http://hdl.handle.net/123456789/59049] ![]() |
专题 | 清华大学 |
推荐引用方式 GB/T 7714 | 田进涛,陈志强,宋小平,等. 心脏穿通伤的临床特点及治疗[J],2010, 2010. |
APA | 田进涛.,陈志强.,宋小平.,陈炎.,魏慎海.,...&Wei Shenhai.(2010).心脏穿通伤的临床特点及治疗.. |
MLA | 田进涛,et al."心脏穿通伤的临床特点及治疗".(2010). |
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