Bellister Seth A, Dennis Bradley M, Guillamondegui Oscar D
Division of Trauma and Surgical Critical Care, Emergency General Surgery, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA.
Division of Trauma and Surgical Critical Care, Emergency General Surgery, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA.
Surg Clin North Am. 2017 Oct;97(5):1065-1076. doi: 10.1016/j.suc.2017.06.012.
Patients with traumatic cardiac injuries can present with wide variability in their severity of illness. The most severe will present in cardiac arrest, whereas the most benign may be altogether asymptomatic; most will fall somewhere in between. Management of cardiac injuries largely depends on mechanism of injury and patient physiology. Understanding the spectrum of injuries and their associated manifestations can help providers react more quickly and initiate potentially life-saving therapies more efficiently when time is critical. This article discusses the workup and management of both blunt and penetrating cardiac injuries.
创伤性心脏损伤患者的病情严重程度差异很大。最严重的会出现心脏骤停，而最轻微的可能完全没有症状；大多数患者的情况则介于两者之间。心脏损伤的处理很大程度上取决于损伤机制和患者的生理状况。了解损伤的范围及其相关表现有助于医护人员在时间紧迫的关键情况下更快地做出反应，并更有效地启动可能挽救生命的治疗措施。本文讨论钝性和穿透性心脏损伤的检查和处理。
