Immediate thoracotomy for wounds of the heart

摘要: Abstract 1. A report has been made of five penetrating wounds the heart and pericardium treated by immediate thoracotomy cardiorrhaphy. There were four survivals. All patients with myocardial reached operating table all had significant pericardial tamponade or massive hemothorax. In wound was bleeding in laceration still open. 2. one patient occurred times before 3. cases inflicted transpleurally. transpleural surgical approach order to effect an overall appraisal thoracic injuries for appropriate therapy. 4. We are convinced that management early is preferrable persistent conservative aspiration. Pericardiotomy primary cardiorrhaphy effective procedure less likely result adhesive pericarditis danger development constrictive syndrome some cases. Pericardicentesis may be utilized prior surgery restore temporarily hemodynamics cardiovascular system. 5. also think difference statistics regarding results operative versus nonoperative treatment due fact critically injured receive pericardicentesis even no treatment, more undergo correction extensive injury without procrastination.