Abstract: ［Abstract］Objective　To explore the operative skills and experience in the treatment of penetrating heart injury．Methods　Inpatients（45 cases）were enrolled from department of cardiovascular surgery from Oct 1999 to Jun 2011 in our study．All patients had accepted operative treatment．44 cases had accepted emergency operation and 1 case had accepted selective operation．There were 30 cases with left thoracotomy，13 cases with right thoracotomy and 2 cases with center thoracotomy．Results　After emergency operation，43 patients without intracranial injury by ultrasonography survived and 2 cases died．The survival rate of 45 cases was 95.6%．Conclusions　Early and timely diagnosis and emergency treatment can save the lives of patients with penetrating heart injury. It is important to select operative incision exactly according to different site of hurt.