Segida V F, Efremov N I, Chernov A I
Khirurgiia (Mosk). 1994 Sep(9):23-4.
In a period of 10 years seven patients with open injury to the heart were treated. Their ages ranged from 17 to 39 years. One patient had a gunshot injury, in six the injury was inflicted with a knife. In three patients the injuries were combined (concurrent injury to the lung in 2 and to the diaphragm in one) and in four isolated. Perforating injury of both ventricles and damage of the interventricular septum were found in one case. All patients underwent emergency closure of the heart wounds with an atraumatic synthetic thread and drainage of the pleural cavity. Complications developed in the postoperative period in six patients: suppuration of the operative wound in one and pericarditis in five. One patient died. Analysis of the obtained data testifies to the expediency of two-stage treatment with rehabilitation in cardiological departments. This shortens the period of rehabilitation of patients with open injuries to the heart treated in a central regional hospital.
在10年期间,共治疗了7例心脏开放性损伤患者。他们的年龄在17岁至39岁之间。1例为枪伤,6例为刀伤。3例患者为复合伤(2例合并肺损伤,1例合并膈肌损伤),4例为单纯伤。1例患者发现双心室穿孔伤和室间隔损伤。所有患者均采用无创伤合成线进行心脏伤口的紧急缝合,并进行胸腔引流。6例患者术后出现并发症:1例手术伤口化脓,5例发生心包炎。1例患者死亡。对所得数据的分析证明了在心脏病科室进行两阶段治疗并康复的合理性。这缩短了在中央地区医院接受治疗的心脏开放性损伤患者的康复期。