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笔者报道心脏外伤２３例，其中心脏刀伤、挫伤共１５例、医源性损伤８例。本文重点讨论了外伤后胸部Ｘ线表现．①心脏及大血管损伤占胸部外伤２．４％；②穿透性损伤在Ｘ光平片如发现大量心包积液或并有胸腔积液者，应考虑心脏破裂；③心脏金属异物在胸部平片并辅以透视即可定位、定性；①心脏瓣膜穿孔或撕裂，外伤性室壁瘤、室间隔穿孔等，应结合体征、Ｂ扭及Ｘ线心血管造影确诊；⑤冠状动脉的外伤如冠脉狭窄、截断或冠脉的介入治疗中合并夹层动脉瘤、冠脉的破裂、血栓形成等，应结合冠脉造影确诊。
The author reported 23 cases of cardiac trauma, including heart-knife injury, contusion in 15 cases, iatrogenic injury in 8 cases. This article focuses on chest X-ray findings after trauma. ① heart and major vascular injury accounted for 2.4% of traumatic trauma; ② penetrating injury in X-ray if found in a large amount of pericardial effusion or pleural effusion, should consider the heart rupture; ③ heart metal foreign body in the chest plain film And assisted by fluoroscopic positioning, qualitative; ① heart valve perforation or tear, traumatic aneurysm, ventricular septal perforation, etc., should be combined with signs, B torsion and X-ray angiography diagnosis; ⑤ coronary artery trauma such as the crown Stenosis, truncation or coronary intervention in the treatment of dissecting aneurysms, coronary rupture, thrombosis, etc., should be confirmed by coronary angiography.