心脏刀刺伤的外科治疗（附8例报告）

１９９０年７月至１９９４年７月，我科遇心脏刀刺伤８周，其中除１例死于急诊科外，另７例均行急诊手术，均抢救成功且恢复工作凡心前区有伤口且短期内出现重度低血压者，心脏刀刺伤可能性极大，不应作过多检查和不必要搬动，尤其远距离运送，而应紧急手术。

SURGICAL TREATMENT FOR STABBED HEART

Eight patients with stabbed heart were treated,7 of them survived and recovered well after emergency operation,and one died.It should be stressed that any patients with wound on precordial region,especialy accompanied by serious hypotension in a very short time, had most likely stahbed heart, and should be given an emergency operation avoiding any unnecessary examination or movement. If they couldn't be operated on at an tnferior hospital,the patients Should first be given a treatment of countershock,pericardiocentesis, or pericardiotomy and open drainage, then sent to a superior hospital to be operated on,If,the patients had cardiac arrest,an operation should be given too. An incision along lateral prothorax on the wounded-side would help the exposure of the operation. During operation,the stabbed area should first be dealt with as it would be lifethreatening. The ventrical open wound can be sealed by silk with a gasket by means of figure'U' or an additional figure'8'.The atrial wound could sequentially be sutured by silk,Small cut in the aorta can be sealed with two purse-thring sutures. The autotransfusion of thoracic hematocele is also briefly discussed.