CAJ | 학술논문

目的：探讨心脏刀刺伤的救治经验。方法对2006年9月～2013年9月收治的11例心脏刀刺伤病例资料进行回顾性分析。结果10例抢救成功，1例心肺复苏成功，脑复苏失败，术后第3天死亡。1例合并有胸腔内感染，肺不张，二期行开胸手术后治愈。1例合并室间隔损伤，于术后2个月在体外循环下行二次手术。结论心脏刀刺伤救治成功的关键在于及时正确的诊断以及急诊手术。
목적：탐토심장도자상적구치경험。방법대2006년9월～2013년9월수치적11례심장도자상병례자료진행회고성분석。결과10례창구성공，1례심폐복소성공，뇌복소실패，술후제3천사망。1례합병유흉강내감염，폐불장，이기행개흉수술후치유。1례합병실간격손상，우술후2개월재체외순배하행이차수술。결론심장도자상구치성공적관건재우급시정학적진단이급급진수술。
Objective To explore the experience of penetrating cardiac trauma. Methods From Sep 2006 to Sep 2013, 11 consecutive patients suffered from penetrating cardiac trauma were retrospectively analyzed. Results Ten patients were treated successfully,1 patient was succeed of cardiopulmonary resuscitation,but was failed of cerebral cesuscitation,was died at the third day after operation. 1 patient combined with infection of thoracic cavity and pulmonary atelectasis, was treated successfully by second operation. 1 patient combined with ventricular septal defect, was treated successfully by cardiopulmonary bypass at 2months later. Conclusion The key to succuss of penetrating cardiac trauma is timely and correct diagnosis, emergency surgery.