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经外周插管修复穿透性心脏损伤:病例报告。

Penetrating Heart Injury Repaired with Peripheral Cannulation: Case Report.

机构信息

Department of Cardiovascular Surgery, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey.

Department of Anatomy, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey.

出版信息

Prehosp Disaster Med. 2021 Dec;36(6):793-796. doi: 10.1017/S1049023X21000959. Epub 2021 Sep 21.

Abstract

Heart injuries usually occur due to penetrating or blunt traumas. High mortality rates are seen in heart injuries, owing to firearms and cutting/piercing tools. Factors such as the degree of injury, its localization, and the length of time to reach the hospital influence mortality rates. Despite the increase in imaging facilities and improvements in hospital transportation in today's conditions, high mortality rates are still observed, owing to causes such as sudden blood loss, cardiac arrest, or cardiac tamponade. The present study aimed to present the successful treatment of a 46-year-old male patient with injuries to the left atrium and posterior wall of the left ventricle due to a gunshot wound using the approach of median sternotomy and peripheral cannulation.

摘要

心脏损伤通常是由穿透性或钝性创伤引起的。由于枪支和切割/穿刺工具,心脏损伤的死亡率很高。影响死亡率的因素包括损伤程度、损伤部位以及到达医院的时间长短等。尽管在当今条件下,影像学设备有所增加,医院交通也有所改善,但由于突然失血、心脏骤停或心脏压塞等原因,死亡率仍然很高。本研究旨在介绍一例 46 岁男性患者,因枪击伤导致左心房和左心室后侧壁损伤,采用正中胸骨切开术和外周插管的方法成功治疗。

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