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[冠心病患者体外心脏按摩继发肝破裂:部分肝切除及主动脉冠状动脉搭桥术后康复(作者译)]

[Rupture of the liver secondary to external cardiac massage in a patient with coronary disease : recovery after partial hepatectomy and aortocoronary by-pass (author's transl)].

作者信息

Dumoulin P, Hannoun L, Menu P, Rozensztajn L, Offenstadt G, Parc R, Loygue J, Valty J

出版信息

Ann Med Interne (Paris). 1981;132(4):261-4.

PMID:6975593
Abstract

A 55-year-old man developed ventricular fibrillation during an attack of acute Prinzmetal-type angina, and was treated by external cardiac massage and a defibrillator. Hemorrhagic shock due to laceration of the left side of the liver developed 48 hours later. A liver lobectomy was performed. The postoperative course was uneventful enabling a coronarography examination to be followed by an aortocoronary by-pass, good results being still present after one year. Complications of cardiac massage, especially those involving the liver, are discussed, as well as the treatment of traumatic liver lesions.

摘要

一名55岁男性在急性变异型心绞痛发作期间发生心室颤动,接受了体外心脏按压和除颤器治疗。48小时后出现因左侧肝脏撕裂导致的失血性休克。进行了肝叶切除术。术后过程顺利,随后进行了冠状动脉造影检查及主动脉冠状动脉搭桥术,一年后效果良好。讨论了心脏按压的并发症,尤其是涉及肝脏的并发症,以及创伤性肝损伤的治疗。

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