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非穿透性胸部创伤所致室间隔缺损的晚期手术修复:两例对比病例的回顾与报告

Late surgical repair of ventricular septal defect due to nonpenetrating chest trauma: review and report of two contrasting cases.

作者信息

Evora P R, Ribeiro P J, Brasil J C, Otaviano A G, Amaral F T, Reis C L, Secches A L, Marin-Neto J A

出版信息

J Trauma. 1985 Oct;25(10):1007-9. doi: 10.1097/00005373-198510000-00016.

DOI:10.1097/00005373-198510000-00016
PMID:4046078
Abstract

Traumatic rupture of the interventricular septum is a rare condition usually presenting in infancy and childhood. This report describes two cases: a 3-year-old boy operated on soon after the diagnosis was made, and a 15-year-old girl operated on 12 years following the causative accident. Both patients had the diagnosis confirmed by cardiac catheterization. The typical appearance of a traumatic ventricular septal defect (VSD) was seen during surgical repair that was successfully carried out in both patients. The protracted clinical course of the second patient, eventually requiring corrective intervention, contributes to the understanding of natural history of traumatic VSD.

摘要

室间隔外伤性破裂是一种罕见病症,通常出现在婴儿期和儿童期。本报告描述了两例病例:一名3岁男孩在确诊后不久接受了手术,一名15岁女孩在导致发病的事故发生12年后接受了手术。两名患者均通过心导管检查确诊。在手术修复过程中均发现了典型的外伤性室间隔缺损(VSD)表现,两名患者的手术均成功完成。第二名患者漫长的临床病程最终需要进行矫正干预,这有助于加深对外伤性VSD自然病程的理解。

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