Jebara V A, Saade B
Division of Thoracic and Cardio-vascular Surgery, Hôtel-Dieu de France, Université Saint Joseph, Beirut, Lebanon.
Ann Thorac Surg. 1989 Feb;47(2):250-3. doi: 10.1016/0003-4975(89)90281-6.
Forty-nine war casualties with penetrating cardiac wounds were treated at the Hôtel-Dieu de France University Hospital between April 1975 and December 1987. All the wounds were caused by high-velocity missiles. An aggressive approach was utilized. Emergency room thoracotomy was performed in 17 "lifeless" patients, 4 of whom survived. Twenty-seven of the 32 patients who were in stable enough condition to undergo initial repair in the operating room survived. Overall survival was 63% (31/49). No intracardiac injuries were diagnosed in survivors, and no cardiac reoperations were required. Careful analysis of the trajectory of the missile or missiles and a portable chest roentgenogram were the most important factors for diagnosing a penetrating wound to the heart and for predicting potential associated injuries.
1975年4月至1987年12月期间，法国迪厄医院大学医院共收治了49例心脏穿透伤的战争伤员。所有伤口均由高速导弹造成。采取了积极的治疗方法。17名“无生命迹象”的患者接受了急诊室开胸手术，其中4人存活。32名病情稳定、足以在手术室进行初期修复的患者中有27人存活。总体存活率为63%（31/49）。幸存者中未诊断出心脏内损伤，也无需进行心脏再次手术。仔细分析一枚或多枚导弹的弹道以及便携式胸部X光片是诊断心脏穿透伤和预测潜在相关损伤的最重要因素。
