羊角致胸腹联合伤并心脏破裂患儿救治1例
A case report of a child with thoracoabdominal injury combined cardiac rupture caused by sheep horns
贺逢孝 1孟鹏 2石磊 3安维新 4蒋治中 2吴向阳1
作者信息
- 1. 兰州大学第二医院心脏外科,兰州 730030
- 2. 天水市第一人民医院麻醉科,天水 741000
- 3. 酒泉市人民医院老年医学科,酒泉 735000
- 4. 嘉峪关市中医医院康复科,嘉峪关 735100
- 折叠
摘要
目的 通过一例羊角所致心脏破裂胸腹联合伤患儿的救治,探讨在有限的医疗条件下胸腹联合伤的救治.方法 总结笔者援非期间,停电且无氧气供应无围术期监护,在手电筒照明下,保留自主呼吸的硬膜外麻醉下救治胸腹联合伤并心脏破裂患儿诊疗经过.结果 完成了胸腹腔探查,进行了心脏、胃和膈肌的修补,术后抗感染、营养支持及综合治疗后,患儿顺利康复出院.结论 条件有限时,需迅速对病情做出判断,针对胸腹联合伤合并心脏破裂,尽快控制出血、解除心包填塞并进行心脏修补,为挽救生命,必要时可采取非常规措施.
Abstract
Objective To explore the treatment of thoracoabdominal combined injury in a child with heart rupture caused by sheep horns under limited medical conditions.Methods To summarize the diagnosis and treatment of a child with thoracoabdominal combined injury and cardiac rupture who were treated with epidural anesthesia and having spontaneous breath,and even more there was no oxygen supply and perioperative monitoring during operation.Results After the complete of thoracoabdominal exploration,the repair of heart,stomach and diaphragm,postoperative anti-infection,nutritional support and symptomatic treatment,the little patient recovered successfully.Conclusions Thoracoabdominal injuries combined cardiac rupture requires rapid judgment of the patient's condition,control of bleeding,discharge cardiac tamponade and cardiac repair as soon as possible.In order to save life,unconventional measures can be used when it is necessary.
关键词
胸腹联合伤/心脏破裂/心包填塞/有限的医疗条件Key words
Thoracoabdominal injury/Heart rupture/Pericardial tamponade/Limited medical conditions引用本文复制引用
出版年
2024
NETL
NSTL
万方数据