|本期目录/Table of Contents|

[1]杨仁荣,曹金林,刘文滨,等.损伤控制与加速康复外科理念在心脏刀刺伤急救中应用[J].医学研究与战创伤救治(原医学研究生学报),2011,13(06):488-490.
　YANG Ren-rong,CAO Jin-lin,LIU Wen-bin,et al.Clinical application of damage control and fast track surgery in the first aid of cardiac stabbed[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(06):488-490.
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损伤控制与加速康复外科理念在心脏刀刺伤急救中应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年06期
页码:
488-490
栏目:
出版日期:
2011-11-20

文章信息/Info

Title:
Clinical application of damage control and fast track surgery in the first aid of cardiac stabbed
文章编号:
1672-271X(2011)06-0488-03
作者:
杨仁荣; 曹金林; 刘文滨; 刘桂宝; 施建国
310004 浙江杭州，解放军117医院胸外科
Author(s):
YANG Ren-rong; CAO Jin-lin; LIU Wen-bin; LIU Gui-bao; SHI Jian-guo
Department of Thoracic Surgery,117 Hospital of PLA,Hangzhou 310004,China
关键词:
损伤控制外科; 加速康复外科; 心脏刀刺伤; 急救
Keywords:
damage control surgery;  fast track surgery;  cardiac stabbed;  first aid
分类号:
R654.2
DOI:
-
文献标志码:
A
摘要:
目的 探讨损伤控制与加速康复外科理念在心脏刀刺伤急救中的临床应用价值。方法 对19例心脏刀刺伤采用损伤控制与加速康复外科理念手术急救进行回顾性分析总结。所有患者在急诊室迅速建立静脉通道，输液、输血扩容抗休克治疗，其中2例由于心脏压塞出现心搏骤停，立即在急诊室行心包切开减压，胸内心脏按压。急诊室处理后立即转手术室进行剖胸探查术。结果 19例无一例死亡。5例由于合并瓣膜和(或)房室间隔损伤，术后2月在体外循环下行二次手术。所有患者术后随访3～12个月，生活质量、劳动能力均基本恢复正常。结论 对心脏刀刺伤患者的急救，按照损伤控制与加速康复外科理念，采取合理的手术方式及术后处理，可以促进患者早日康复。
Abstract:
Objective To explore the clinical application of damage control surgery(DCS) and fast track surgery(FTS) in the first aid of cardiac stabbed. Methods 19 cardiac stabbed patients in our hospital treated with DCS and FTS concept in emergency surgery were retrospectively analyzed and summarized. All patients in the emergency room quickly to establish intravenous access,infusion,transfusion and anti-shock treatment. 2 patients were immediately cut pericardial decompression in the emergency room and carried out cardiac massage in the thoracic due to cardiac tamponade and cardiac arrest occurred. After emergency room treatment,the patients were immediately switched to operating room exploratory thoracotomy. Results None of the 19 patients died. 5 patients combined of valve and/or atrioventricular septal defect were treated with second surgery in cardiopulmonary bypass about 2 months later. All patients were followed up for 3 to 12 months,both quality of life and ability to work returned to normal. Conclusion For the first aid of cardiac stabbed patients,preference of DCS and FTS concept,to take reasonable surgical procedure and postoperative management,can promote patient recovery.

参考文献/References:

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备注/Memo

备注/Memo:
全军医药卫生科研攻关基金课题(08G097)
更新日期/Last Update: 2011-11-20