心脏损伤急救探讨(附52例临床分析)

Evaluation of clinical treatment in cardiac trauma

[目的]通过心脏损伤的病因学统计，探讨心脏损伤诊断，急救要点。总结心脏损伤的急救经验。[方法]对该院1985年5月-2007年5月共52例心脏损伤进行系统回顾，总结急救措施和方法，以提高心脏损伤的抢救成功率。[结果]治愈39例，死亡13例。死亡率逐年降低。取得较好的临床效果。[结论]对心脏损伤病人加强临床综合判断认识，简化诊断程序。尽早开胸手术是心脏损伤急救的关键。

[ Objective] To compare cardiac trauma epidemiological investigation, study the diagnostic characteristics and therapeutic characteristics. Sum up the cardiac trauma treatment experience. [ Methods] In the period from May 1985 to May 2007,fifty two patients ofcardiac trauma was systematic reviewed, research how to strengthen diagnosis; flint - aid ultrasound ; salvaged blood autotransfusion ;pay attention to surgery skill that raise survival rate. [ Results] There were 39 patients cured and 13 patients was died. The mortality was gradually decreased. They were pleased with clinical effect of cardiac trauma. [ Conclusion ] Diagnostic program should be simplified ;ultrasound was valauable assistant dagnosis. It is important that the thoracotomy should be taken as early as possible.