Oh Jeong Woo, Chae Minjeong
Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea.
Department of Nursing, Chosun Nursing College, Kwangju, Korea.
J Trauma Inj. 2023 Sep;36(3):180-186. doi: 10.20408/jti.2022.0061. Epub 2023 Jan 31.
The purpose of this study was to report the treatment results of patients with traumatic cardiac tamponade after the opening of Jeju Regional Trauma Center.
We analyzed the treatment outcomes of patients with traumatic cardiac tamponade who were treated at Jeju Regional Trauma Center from January 2018 to August 2022.
Seven patients with traumatic cardiac tamponade were treated. The male to female ratio was 1.33:1 (four male and three female patients) and the average age was 60.3±7.2 years. The mechanism of injury was blunt trauma in six cases and penetrating injury in one case. Upon arrival at the emergency department, pericardiostomy was performed in four cases, and an emergency operation was performed in six cases. Pericardiostomy alone was performed in one patient, who had cardiac tamponade due to extrapericardial suprahepatic inferior vena cava rupture. The causes of cardiac tamponade were right atrium appendage rupture in one case, right ventricle rupture in one case, inferior vena cava rupture in two cases, right atrium and left atrium rupture in one case, both atria and left ventricle rupture in one case, and intercostal artery rupture in one case. In three cases, intraoperative cardiopulmonary bypass was required. Two of the seven patients died (mortality rate, 28.5%).
Relatively favorable treatment results were observed for traumatic cardiac tamponade patients after Jeju Regional Trauma Center was established.
本研究旨在报告济州地区创伤中心开业后创伤性心脏压塞患者的治疗结果。
我们分析了2018年1月至2022年8月在济州地区创伤中心接受治疗的创伤性心脏压塞患者的治疗结果。
共治疗7例创伤性心脏压塞患者。男女比例为1.33:1（4例男性和3例女性患者），平均年龄为60.3±7.2岁。受伤机制为钝性创伤6例，穿透性创伤1例。到达急诊科后，4例行心包切开术，6例行急诊手术。1例因心包外肝上腔静脉破裂导致心脏压塞的患者仅行了心包切开术。心脏压塞的原因包括右心耳破裂1例、右心室破裂1例、下腔静脉破裂2例、右心房和左心房破裂1例、双心房和左心室破裂1例、肋间动脉破裂1例。3例术中需要体外循环。7例患者中有2例死亡（死亡率为28.5%）。
济州地区创伤中心成立后，创伤性心脏压塞患者的治疗结果相对良好。
