Clinical diagnosis and treatment of penetrating cardiac trauma experience.docVIP

 PAGE \* MERGEFORMAT 7 Clinical diagnosis and treatment of penetrating cardiac trauma experience [Abstract] of 8 cases the diagnosis of penetrating cardiac trauma and emergency surgical treatment were retrospectively analyzed, 7 were cured, 1 died, the mortality rate of 12.5%. Treatment of penetrating cardiac injuries to take rapid and early diagnosis, surgery without hesitation exploration, appropriate use of autologous blood transfusion anti-shock and other disposal, can significantly improve the treatment success rate. [Keywords:] Heart injuries; penetrating wounds; surgery Penetrating cardiac trauma (penetrating cardiac trauma, PCT) short duration, rapid progression, high fatality rate [1]. If treatment is not timely, in patients with hemorrhagic shock due to acute cardiac tamponade or death. In our hospital since 2000 ~ 2009 treated 8 patients with acute penetrating cardiac injury, are reported below. Clinical data 1 General Information of this group 7 were males and 1 female patients; aged 18 to 43 years old. Were needlestick injuries, 5 cases of left chest, right chest 2 cases, 1 case under the xiphoid. Mainly as hemorrhagic shock and cardiac tamponade. except for 1 patient to the hospital when breathing, cardiac arrest, but have different degrees of chest pain, chest tightness, shortness of breath, irritability, neck vein engorgement, pale, blood pressure, heart sounds, such as performance of low blunt .5 conscious patients, 2 cases indifferent expression, and 1 .3 cases coma systolic blood pressuregt; 90mmHg, 4 systolic blood pressure lt;90mmHg, 1 blood pressure to 0. injury to the treatment time is 20 minutes to 1.5 hours. 2 treatment cycles of 8 cases were added, while the capacity of emergency thoracic surgery, 3 cases of emergency thoracotomy in the emergency room, including 1 patient bedside line after xiphoid pericardial chest needle decompression, 5 patients received 1 residents hours thoracotomy. 5 were taken intraoperative