闭合性重症胸外伤迟发型心脏大血管破裂的治疗体会
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摘要: 目的:探讨迟发型心脏大血管破裂的治疗策略。方法:回顾性分析8例外伤患者的临床资料,包括心电图、心肌酶谱、胸部CT、心脏超声等检查结果以及手术治疗情况。结果:8例均痊愈出院。结论:在治疗闭合性胸外伤患者过程中,应警惕迟发型心脏大血管破裂的出现,做到早诊断、早治疗,发现破裂或高度怀疑时积极行手术救治。
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[1] Elie MC.Blunt cardiac injury[J].Mt Sinai J Med,2006,73(2):542-552. [2] Moriwaki Y,Sugiyama M,Yamamoto T,et al.Outcomes from prehospital cardiac arrest in blunt trauma patients[J].World J Surg,2011,35(1):34-42. [3] Karakus A,Kekec Z,Akcan R,et al.The relationship of trauma severity and mortality with cardiac enzymes and cytokines at multiple trauma patients[J].Ulus Travma Acil Cerrahi Dergisi,2012,18(4):289-295. [4] Bansal MK,Maraj S,Chewaproug D,et al.Myocardial contusion injury:redefning the diagnostic algorithm[J].Emerg Med J,2005,22(7):465-469. [5] Ball CG,Peddle S,Way J,et al.Blunt cardiacrupture:isolated and asymptomatic[J].J Trauma,2005,58(5):1075-1077. [6] Helmy TA,Nicholson WJ,Lick'S,et al.Contained myocardial rupture:a variant linking complete and incomplete rupture[J].Heart,2005,91(2):e13. [7] Cordovil A,Fischer CH,Rodrigues AC,et al.Papillary muscle rupture after blunt chest trauma[J].J Am Soc Echocardiogr,2006,19(4):469.e1-e3. [8] 刘爱军,李新华,张文凯,等.心脏破裂伤的诊断和治疗[J].中华胸心血管外科杂志,2010,26(4):277.
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