Ouldzein H, Zouaoui W, Cherradi R, Abid A, Hamdoun M
Service de cardiologie B, CHU de Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse cedex 09, France.
Ann Cardiol Angeiol (Paris). 2006 Oct;55(5):255-9. doi: 10.1016/j.ancard.2006.07.004.
The aim of our work was to study cardiac sequelae of penetrating cardiac injuries.
It is a retrospective study including nine patients (eight men and one woman with an average age of 26.6 +/- 7.4 years) hospitalised between January 1st, 1988 and December 31, 2002 in cardiovascular surgery department of Tunis Rabta hospital for heart wounds.
It was stab wounds in all patients. Heart lesions concerned primarily the right ventricle. In admission, two patients had cardiac tamponade and seven were in shock. Beating heart surgery without cardiopulmonary bypass in all patients performed surgical repair and it consisted in simple suture. Functional symptoms were observed in five patients at late outcome. Five patients had heart sequelae. It consisted of conduction abnormalities (right bundle branch block) in five patients. One patient had a small ventricular septal defect. Finally, partial permanent disability rates were less than 10%.
Cardiac sequelae of penetrating cardiac wounds have good prognosis with the exception of a small partial permanent disability rate. Their prevention must be based on the fight against the urban violence and on the good initial management.
我们的工作旨在研究穿透性心脏损伤的心脏后遗症。
这是一项回顾性研究，纳入了1988年1月1日至2002年12月31日期间在突尼斯拉巴塔医院心血管外科住院治疗心脏创伤的9名患者（8名男性和1名女性，平均年龄26.6±7.4岁）。
所有患者均为刺伤。心脏损伤主要累及右心室。入院时，2例患者发生心脏压塞，7例处于休克状态。所有患者均在心脏跳动且未使用体外循环的情况下进行了手术修复，手术方式为单纯缝合。在远期结局中，5例患者出现功能症状。5例患者有心脏后遗症。其中5例为传导异常（右束支传导阻滞）。1例患者有小型室间隔缺损。最后，部分永久性残疾率低于10%。
除了较低的部分永久性残疾率外，穿透性心脏创伤的心脏后遗症预后良好。其预防必须基于打击城市暴力以及良好的初始处理。
