摘要
Objective: Summarizing the clinical experience of surgical treatment in 2 cases of blunt cardiac trauma and reviewing the relevant literatures. Methods : A 6-year-old girl was diagnosed muscular ventricular septal defect and left ventricular aneurysm 2d after automobile accident and underwent ventricular septal defect repair 2 weeks after injury. Another 9-year-old boy was diagnosed severe mitral regurgitation resulted from rupture of posterior papillary muscle 9d after automobile accident and underwent mitral valvuloplasty 2 weeks after injury. Results: Heart function of the first patient was in New York Heart Association (NYHA) class Ⅰ , echocardiography showed no residual septal defect and the size of left ventricular aneurysm reduced. Heart function of the second patient is in NYHA class Ⅱ , echocardiography showed mild mitral regurgitation. Conclusion: Blunt traumatic heart disease occurs either because of heart compression between sternum and the spine and/or because of myocardial contusion ; A more aggressive strategy with surgical treatment earlier before deterioration of heart function is advocated; Earlier surgical correction of anatomic deformity will achieve a good result and a long time follow-up is necessary.
出处
《上海第二医科大学学报》
CSCD
北大核心
2005年第7期735-735,共1页
Acta Universitatis Medicinalis Secondae Shanghai
