| Title |
Trauminiai penetruojantys širdies sužalojimai: 25 metų duomenų analizė / |
| Translation of Title |
Penetrating cardiac injuries: evaluation of a 25-year experience. |
| Authors |
Jagelavičius, Žymantas ; Jovaišas, Vytautas ; Žilinskas, Arūnas ; Kybartas, Algis ; Kiškis, Gintaras ; Gruslys, Vygantas ; Liubertienė, Irena ; Janilionis, Ričardas |
| DOI |
10.15388/LietChirur.2010.2.2117 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2010, t. 8, nr. 2, p. 83-93.. ISSN 1392-0995 |
| Keywords [eng] |
Cardiac injuries ; Cardiac trauma ; Heart wound ; Penetrating chest injuries |
| Abstract [eng] |
Background Cardiac injuries are one of the most lethal traumas, and they are usually sustained by young people. Most of the injured die before reaching hospital. We present our experience in treating penetrating cardiac injuries in Vilnius University Hospital “Santariskiu Clinics” Centre Affiliation. Patients and methods We have retrospectively analyzed data on 170 patients who were treated and operated on for suspicion of cardiac injury within the first 24 hours after trauma in our department during a 25-year period. We evaluated the effect of various factors on survival. Results The mean age was 36 years. 88.2% were male. The mean time from trauma till reception room in Vilnius was 104 min and beyond Vilnius 310 min. Most of the injuries were stab wounds (161, 94.7%). During operation the general finding was haemopericardium or tamponade – 130 (76.5%). Right ventricle was the most frequently injured part of the heart (68, 40.0%). 92 (54.1%) patients had associated injuries. 151 of 170 patients survived, the survival rate until discharge was 88.8%. Compared to nonsurvivors, survivors had a higher systolic blood pressure (87.9 mm Hg vs. 56.3 mm Hg, p = 0.001) and more often had all signs of life (80.8% vs. 47.4%, p = 0.003), but in nonsurvivors more frequent were tamponade (52.6% vs. 29.8%, p = 0.045), higher grade (IV–VI) of injury (89.5% vs. 29.8%, p < 0.001) and stopping of heart action (84.2% vs. 7.9%, p < 0.001). Conclusions Lower blood pressure, missing one or more signs of life on arrival determine the worse outcome as well as tamponade, higher grade cardiac injury and stopping of the heart action during the operation. The proper care given more rapidly to the victims injured to the heart could help to save more lives. |
| Published |
Vilnius : Lietuvos chirurgų asociacija |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2010 |
| CC license |
|
