INJURIES TO THE HEART

被引:6
作者
AKSNES, J
FOOSE, E
PILGRAMLARSEN, J
FJELD, N
机构
[1] Department of Cardiothoracic Surgery, Ullevål Hospital, University of Oslo
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1993年 / 24卷 / 08期
关键词
D O I
10.1016/0020-1383(93)90034-4
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
During a 12-year period, 36 patients with cardiac injuries were recorded. Nine suffered penetrating injuries, nine blunt ruptures and 18 contusions. Only two patients with blunt rupture survived, in contrast to six out of seven patients with stab wounds to the heart. This reflects that heart stabs are easier to diagnose than blunt ruptures, and that the associated injuries are the most important factor for survival in patients with blunt injuries. All clinical manifestations of the heart injuries were present within the first 12 h. Cardiac monitoring of haemodynamically stable patients beyond this period may not be necessary.
引用
收藏
页码:545 / 548
页数:4
相关论文
共 17 条
[1]  
Baue, The horror of autotoxicus and multiple-organ failure, Arch. Surg., 127, (1992)
[2]  
Baxter, Moore, Moore, Et al., A plea for sensible management of myocardial contusion, Am. J. Surg., 158, (1989)
[3]  
Bostman, Salo, Bostman, Stab wounds to the pericardium and heart: an analysis of 85 consecutive patients., Eur J Surg, 158, (1992)
[4]  
Cachecho, Grindlinger, Lee, The clinical significance of myocardial contusion, J. Trauma, 33, (1992)
[5]  
Cappelen, Vulnus cordis, Nordisk Magasin for Laegevidenskab, 6, (1896)
[6]  
Geiran, Solheim, Acute rupture of the heart after blunt trauma: report of a successful operation, Injury, 6, (1973)
[7]  
Geiran, Solheim, Cardiac and thoracic injuries, Scand. J. Cardiovasc. Surg., 8, (1974)
[8]  
Healey, Brown, Fleiszer, Blunt cardiac injury: is this diagnosis necessary?, J. Trauma, 30, (1990)
[9]  
Helling, Duke, Beggs, Et al., A prospective evaluation of 68 patients suffering blunt chest trauma for evidence of cardiac injury, J. Trauma, 29, (1991)
[10]  
Kemmerer, Eckert, Gathright, Et al., Patterns of thoracic injuries in fatal traffic accidents, J. Trauma, 1, (1961)