Tsybuliak G N, Bechik S L
Khirurgiia (Mosk). 1996(4):59-63.
The analysis of 138 patients with injuries of the heart and pericardium has been made. The article describes the problems of diagnosis of different injuries, the diagnostic value of pericardial puncture and pericardiotomy using different anatomic access. The article also discusses possibility of conservative therapy by pericardial puncture and a removal of blood. It was demonstrated that the diagnosis of the heart injury is an absolute indication for surgery and that the pericardial puncture is just a temporary procedure to prepare for the operation.
对138例心脏和心包损伤患者进行了分析。本文描述了不同损伤的诊断问题、心包穿刺和采用不同解剖入路的心包切开术的诊断价值。本文还讨论了通过心包穿刺和抽血进行保守治疗的可能性。结果表明，心脏损伤的诊断是手术的绝对指征，心包穿刺只是为手术做准备的临时措施。
