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	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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