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目的探讨钝性胸外伤致瓣膜腱索断裂的临床特点及外科治疗。方法对5例钝性胸外伤致心内结构损伤的临床资料进行回顾性分析。结果二尖瓣腱索断裂行二尖瓣置换术2例,二尖瓣腱索修补术1例。三尖瓣叶破裂或腱索断裂2例行三尖瓣修补成形术。同期室间隔缺损修补术2例,左室修补1例,术中死亡1例。结论瓣膜腱索断裂者,首选方法是瓣膜成形术或瓣膜置换术且早期手术有利于患者的恢复。
Objective To investigate the clinical features and surgical treatment of valvular chordae tendon rupture caused by blunt thoracic injury. Methods The clinical data of 5 cases with blunt thoracic injury caused by structural damage of the heart were retrospectively analyzed. Results Mitral valve mitral valve mitral valve replacement in 2 cases, mitral valve repair in 1 case. Tricuspid valve rupture or chordae rupture 2 cases of tricuspid valve repair angioplasty. Ventricular septal defect repair in 2 cases, left ventricle repair in 1 case, 1 case of intraoperative death. Conclusions Valve tendons rupture, the preferred method is valvuloplasty or valve replacement surgery and early surgery is conducive to the recovery of patients.