[创伤后心脏动脉瘤]

[Post-traumatic heart aneurysms].

作者信息

Shabalkin B V, Belov Iu V

出版信息

Vestn Khir Im I I Grek. 1983 May;130(5):15-21.

Abstract

On the basis of an analysis of 56 cases of posttraumatic aneurysms of the heart described in the literature and 2 personal observations the authors give a description of etiology, pathogenesis, clinical picture, diagnosis and treatment of the disease. In one case of the two personal observations the aneurysm of the heart developed following a blunt trauma of the chest and was accompanied by the appearance of coronary-left-ventricular fistulas. The patient was subjected to a resection of the aneurysm with a satisfactory remote result. In the other case the aneurysm of the heart resulted from a stab wound of the heart. The heart wound was sutured. The patient was not operated for the aneurysm of the heart.

摘要

基于对文献中描述的56例创伤后心脏动脉瘤病例的分析以及2例个人观察病例，作者对该病的病因、发病机制、临床表现、诊断和治疗进行了描述。在2例个人观察病例中，1例心脏动脉瘤是在胸部钝性创伤后形成的，并伴有冠状-左心室瘘的出现。该患者接受了动脉瘤切除术，远期效果良好。另一例心脏动脉瘤是由心脏刺伤引起的。心脏伤口进行了缝合。该患者未因心脏动脉瘤接受手术。