Conclusion ERT is an effective management for critical cardiac penetrating injury and some of the cardiac penetrating injury in a state of impending death,especially stab injury,might be saved.

• 结论急诊室剖胸是救治危急心脏穿透伤的有效手段，濒于死亡的心脏穿透伤特别是锐器伤部分可能获救。