摘要
目的 报告心脏大血管创伤后晚期后遗症的诊断和处理。方法 收集我科 195 4年 6月～ 1999年 7月收治的2 5例心脏大血管损伤后遗症病例资料 ,其中穿透伤 10例、闭合伤 9例、医源性损伤 6例。通过回顾其临床资料及随访结果 ,研究其诊断、处理方法的特点及预后。结果 2 3例经手术治疗痊愈 ,1例假性动脉瘤手术时出血死亡 ,1例因动脉导管结扎后 ,控制假性动脉瘤感染时 ,瘤体突然破裂出血死亡。结论 早期诊断。
? Objective To report the diagnosis and treatment of the delayed sequelae following cardiovascular injuries.Methods From 1954 to 1999,25 patients with cardiovascular trauma were managed surgically,among which there were 10 cases with penetrating wounds,9 cases with nonpenetrating injuries,and 6 cases caused by iatrogenic insults.The injuries consisted of traumatic valve in 11 cases,foreign bodies in 6 cases,pseudoaneurysm and arteriovenous fistulae in 5 cases,right ventricular aneurysm plus ventricular septal defect(VSD),late cardiac tamponade plus right lung foreign bodies and constrictive pericarditis in 1 case,respectively.Twenty four patients underwent operative treatment,that is,evacuation of foreign bodies and drainage of pericardial cavity in 6 cases,replacement or repair of valves in 11 cases,neoplasty of pseudoaneurysm and arteriovenous fistula in 4 cases,repair of VSD and resection of right ventricular aneurysm in 1 case,and pericardiotomy in 2 cases.Results Twenty three patients survived and two died because of abrupt rupture of the pseudoaneurysm.Conclusion It is attested that the early diagnosis and timely or elective surgical intervention lead to gratifying effects in these patients. 〔
出处
《创伤外科杂志》
2000年第2期73-74,共2页
Journal of Traumatic Surgery
