Ermolov A S, Abakumov M M, Radchenko Iu A
Khirurgiia (Mosk). 2001(1):18-21.
The experience of diagnosis and treatment of heart and pericardium wounds in 152 patients are presented. In obecure diagnosis the authors prefer X-ray examination and echocardiography. Total lethality was 23.6%. Its high level is due to injury of coronary arteries and intracardiac structures, other thoracic and abdominal organs. The left anterolaferal thoracotomy is the optimum approach in wounds of the heart and pericardium. The most frequent complication of postoperative period is pericarditis, its echographic symptoms were revealed in 91% examinys. Non-steroid and steroid antiinflammatory drugs are effective for prophylaxis and treatment of pericarditis.
本文介绍了152例心脏和心包损伤患者的诊断和治疗经验。在诊断不明确时，作者倾向于采用X线检查和超声心动图检查。总死亡率为23.6%。其高水平是由于冠状动脉和心内结构、其他胸腹部器官损伤所致。左前外侧开胸术是治疗心脏和心包损伤的最佳方法。术后最常见的并发症是心包炎，91%的受检者出现了心包炎的超声症状。非甾体和甾体类抗炎药对心包炎的预防和治疗有效。
