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[心脏穿透伤的即刻手术治疗。关于2例心肌缝合术的临床诊断与治疗考量]

[Immediate surgical treatment of penetrating wounds of the heart. Clinico-diagnostic and therapeutic considerations on 2 cases of suture of the myocardium].

作者信息

Viola S, Caruso E

出版信息

Chir Ital. 1977 Feb;29(1):41-60.

PMID:330015
Abstract

The authors, on the basis of their experience on two cases of cardiac tamponade, and from the revision of literature, retain that immediate thoracotomy, followed by re-examination of the pericardial sac and myocardiorrhaphy, represents a treatment preferable to the evacuant pericardiocentesis, confining the latter only to diagnostic conditions and immediate decompression in cases which arrive in unequipped places.

摘要

作者基于对两例心脏压塞病例的经验,并通过文献回顾,认为立即开胸手术,随后重新检查心包囊并进行心肌缝合,是一种比心包穿刺抽液引流更可取的治疗方法,心包穿刺抽液引流仅适用于诊断情况以及在未配备相应设备的地方就诊的病例的紧急减压。

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