Duda A M, Ilada P B, Molnar R G, Bachulis B L
Thoracic and Cardiovascular Institute, P.C., Lansing, MI, USA.
Cardiovasc Surg. 1999 Mar;7(2):263-5. doi: 10.1016/s0967-2109(98)00140-9.
Blunt cardiac rupture occurs infrequently and is usually lethal. Successful repairs of isolated atrial or ventricular ruptures have been reported when the diagnosis is made early. Our patient sustained blunt cardiac rupture of both ventricles in a motor vehicle accident. The diagnosis was made during emergency exploratory laparotomy when her vital signs deteriorated without obvious cause. A large Satinsky clamp was placed across the apices of the right and left ventricle to control hemorrhage while the repair was done without cardiopulmonary bypass. She survived and was discharged to home with a normal echocardiogram.
钝性心脏破裂很少发生，通常是致命的。据报道，当早期做出诊断时，孤立的心房或心室破裂能够成功修复。我们的患者在一场机动车事故中发生了双侧心室钝性心脏破裂。在急诊剖腹探查术中，当她的生命体征无明显原因恶化时做出了诊断。在未进行体外循环的情况下进行修复时，用一个大的萨氏钳横跨左右心室心尖以控制出血。她存活下来，出院时超声心动图检查结果正常。
