Flynn T C, Ward R E, Miller P W
Ann Emerg Med. 1982 Aug;11(8):413-6. doi: 10.1016/s0196-0644(82)80037-1.
The charts of 33 consecutive patients undergoing emergency department thoracotomies between July 1, 1979 and June 30, 1980 were reviewed. Thoracotomies were performed in victims of both blunt and penetrating trauma who had suffered cardiopulmonary arrest and were refractory to the usual methods of resuscitation. Overall survival was 12.1% (4/33). There were no survivors from blunt trauma or penetrating wounds below the diaphragm. In patients with penetrating wounds above the diaphragm, emergency thoracotomy may be considerable benefit as demonstrated in our study by a 66.6% salvage rate.
回顾了1979年7月1日至1980年6月30日期间连续33例接受急诊开胸手术患者的病历。开胸手术用于遭受钝性和穿透性创伤且发生心肺骤停且对常规复苏方法无效的患者。总体生存率为12.1%（4/33）。钝性创伤或膈下穿透伤患者无一存活。在膈上穿透伤患者中，急诊开胸手术可能有显著益处，如我们的研究所示，挽救率为66.6%。
