Janzing H M, Rommens P, Flameng W, Aerts R, Lauwers P, Broos P
Department of Traumatology and Emergency Surgery, University Hospitals, Catholic University of Leuven, Belgium.
J Trauma. 1995 May;38(5):828-9. doi: 10.1097/00005373-199505000-00031.
A patient with a severe liver injury and an acute cardiac failure due to a traumatic tricuspid valve failure is presented. During liver surgery, massive venous bleeding was caused by regurgitation of blood through the insufficient tricuspid valve. Right ventricular failure, leading to persistent hemodynamic instability, and caused by massive posttraumatic tricuspid regurgitation, has been treated with biological valve replacement. Diagnosis and management of posttraumatic tricuspid insufficiency are discussed.
本文介绍了一名因创伤性三尖瓣功能衰竭导致严重肝损伤和急性心力衰竭的患者。在肝脏手术期间，由于三尖瓣功能不全导致血液反流，引起大量静脉出血。创伤后大量三尖瓣反流导致右心室衰竭，进而导致持续的血流动力学不稳定，已通过生物瓣膜置换术进行治疗。本文讨论了创伤后三尖瓣关闭不全的诊断和处理。
