Radtke H J, de Wet Lubbe J J, Jansön P M, Barnard P M
Thorac Cardiovasc Surg. 1979 Feb;27(1):18-23. doi: 10.1055/s-0028-1096213.
Fifty-seven patients with penetrating cardiac or pericardial trauma were treated at the Department of Cardio-Thoracic Surgery, University of Stellenbosch at the Tygerberg Hospital during a 6 1/2 year period from June 1971 to January 1978. Eleven patients were treated by aspiration alone because tamponade was mild, or because they were seen between 24 hours and 3 weeks after injury. Six patients underwent late elective surgery. Cardiopulmonary bypass had to be employed in four patients to correct intracardiac lesions. All other patients underwent emergency operations 8 minutes to 2 hours after admission to hospital. The hospital mortality was 4 of 57 patients (7%), lower than rates reported in other series. Some selected cases will be described more fully and our present plan of management is outlined.
1971年6月至1978年1月的6年半时间里，57例穿透性心脏或心包创伤患者在泰格堡医院的斯泰伦博斯大学心胸外科接受了治疗。11例患者因心包填塞较轻，或因在受伤后24小时至3周内就诊，仅接受了穿刺抽吸治疗。6例患者接受了择期晚期手术。4例患者必须使用体外循环来纠正心脏内病变。所有其他患者在入院后8分钟至2小时内接受了急诊手术。57例患者中有4例（7%）住院死亡，低于其他系列报道的死亡率。将更详细地描述一些选定的病例，并概述我们目前的治疗方案。
