CAJ | 학술논문

目的探讨闭合性胸部外伤致心脏破裂的手术抢救入路与方法.方法 2004年1月至2010年12月我院抢救闭合性胸部外伤致心脏破裂患者16例,均采用胸骨正中切口行心脏破裂修补术,分析其效果.结果除1例在体外循环建立前出现心跳停止、手术修补后心肺复苏失败外,余15例全部救治成功.结论闭合性胸部外伤致心脏破裂应及时果断进行抢救和急诊手术,心脏破裂修补术可以提高患者的存活率.
목적 탐토폐합성흉부외상치심장파렬적수술창구입로여방법.방법 2004년1월지2010년12월아원창구폐합성흉부외상치심장파렬환자16례,균채용흉골정중절구행심장파렬수보술,분석기효과.결과 제1례재체외순배건립전출현심도정지、수술수보후심폐복소실패외,여15례전부구치성공.결론 폐합성흉부외상치심장파렬응급시과단진행창구화급진수술,심장파렬수보술가이제고환자적존활솔.
Objective To retrospectively analyze the experience in the treatment of cardiac rupture caused by blunt chest trauma and to explore the approaches and methods to improve patient survival.Methods From 2004 to 2010,16 cases of closed chest trauma caused by cardiac rupture,who were treated in our hospital,were treated by heart repair using median sternotomy incision approach.Results Except for 1 patient occurred cardiac arrest before the establishment of CPB,who was failed for cardiopulmonary resuscitation after surgical repair,the remaining 15 patients were all successfully treated.Conclusion The diagnosis of cardiac rupture should be made as soon as possible once it occurs.Timely and decisive rescue and emergency surgery should be given.Heart repair can greatly improve the patient's survival.