Mancini A, Bonne A, Pirvu A, Porcu P, Bouzat P, Abba J, Arvieux C
Service de chirurgie digestive et de l'urgence, CHU Grenoble-Alpes, CS 102017, 38043 Grenoble cedex, France.
Service de chirurgie thoracique, CHU Grenoble-Alpes, CS 102017, 38043 Grenoble cedex, France.
J Visc Surg. 2017 Dec;154(6):401-406. doi: 10.1016/j.jviscsurg.2017.05.007. Epub 2017 Nov 14.
Resuscitative thoracotomy, a potentially life-saving procedure, is used exceptionally, and essentially for penetrating trauma. Most of the available literature is American while reports from Europe are sparse. We report our experience in a French level 1-trauma center.
Patient records (patient age, gender, mechanism of injury, indication for emergency thoracotomy, anatomic injuries, interventions and survival) for all patients who underwent emergency thoracotomy between January 2005 and December 2015 were analyzed.
Twenty-two patients (19 males) underwent emergency thoracotomy. Median age was 27.5 (12-67) years. Twelve were performed for blunt trauma (55%) and 10 for penetrating injuries (45%). Thirteen patients presented with cardiac arrest, while nine had deep and refractory hypotension. Overall, survival was 32% (n=7). There were no survivors in the blunt trauma group while seven of ten with penetrating injuries survived. All patients presenting with cardiac arrest died.
The survival rate in this French retrospective study was in accordance with the literature.
复苏性开胸手术是一种可能挽救生命的手术，使用极为罕见，主要用于穿透性创伤。现有文献大多来自美国，欧洲的报道较少。我们报告在法国一家一级创伤中心的经验。
分析了2005年1月至2015年12月期间所有接受急诊开胸手术患者的病历（患者年龄、性别、损伤机制、急诊开胸手术指征、解剖损伤、干预措施和生存情况）。
22例患者（19例男性）接受了急诊开胸手术。中位年龄为27.5岁（12 - 67岁）。12例为钝性创伤（55%），10例为穿透性损伤（45%）。13例患者出现心脏骤停，9例有严重且难治性低血压。总体生存率为32%（n = 7）。钝性创伤组无幸存者，而10例穿透性损伤患者中有7例存活。所有出现心脏骤停的患者均死亡。
这项法国回顾性研究中的生存率与文献一致。
Zotero 插件