论文部分内容阅读
目的：探讨心脏闭合伤致心室间隔缺损或瓣膜腱索断裂的临床特点及手术治疗方法。方法：１５年间，共收治心脏外伤４２例。其中心脏闭合伤致心内结构损伤８例，占１９％。这８例中二尖瓣腱索断裂４例，三尖瓣瓣叶破裂或腱索断裂２例，肌部心室间隔缺损２例。回顾性地分析８例患者的原始临床资料。结果：８例患者中，行二尖瓣成形术２例，三尖瓣成形术２例，二尖瓣替换术２例，心室间隔缺损修补术２例，全组无早期死亡。结论：对肌部心室间隔缺损的修补，最好在伤后８周进行。瓣膜腱索断裂者，首选的方法是瓣膜成形术且早期手术有利于患者的恢复。二维及彩色超声心动图结合使用是诊断此病最为简便有效的方法。
Objective: To investigate the clinical characteristics and surgical treatment of ventricular septal defect or chordal rupture caused by closed heart. Methods: 15 years, a total of 42 cases of cardiac trauma. Cardiac injury caused by cardiac structural injury in 8 cases, accounting for 19%. In these 8 cases, mitral chordae tendinosclerosis in 4 cases, tricuspid valve leaflets rupture or chordae rupture in 2 cases, 2 cases of muscular ventricular septal defect. The original clinical data of 8 patients were retrospectively analyzed. Results: Of the 8 patients, 2 had mitral valvuloplasty, 2 had tricuspid valvuloplasty, 2 had mitral valve replacement, 2 had ventricular septal defect repair, and none died early. CONCLUSION: It is best to repair myogenic ventricular septal defects 8 weeks after injury. Valve tendon rupture, the preferred method is valvuloplasty and early surgery is conducive to the recovery of patients. Two-dimensional and color echocardiography combined with the diagnosis of the disease is the most simple and effective method.