| Management of stab wounds of the heart: analysis of 73 cases in 10 years. | |
| | |
MedLine Citation:
|
PMID: 20514575 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Stab wounds of the heart still cause a significant number of traumatic deaths every year. The aim of this study was to assess the outcome of patients with cardiac stab wounds requiring emergency thoracotomy. PATIENTS AND METHODS: Preoperative and operative variables were reviewed for all patients treated at the Mansoura Emergency Hospital between August 1998 and July 2008. RESULTS: Seventy-three patients were treated for stab wounds of the heart. Of these 69 were male (94.5 %) and only 4 were female (5.5 %). Mean patient age was 28.5 +/- 5.8 years. The clinical status was stable in 22 patients (30.1 %) and unstable in 26 patients (35.6 %), while 10 patients were in shock (13.7 %), and 15 patients had suffered cardiac arrest prior to thoracotomy (20.6 %). Emergency room (ER) thoracotomy was performed in 18 patients (24.7 %) and operative room (OR) thoracotomy was carried out in 55 patients (75.3 %). The commonest location of stab wounds to the heart was the right ventricle in 28 patients (38.4 %) followed by the left ventricle in 25 patients (34.2 %). Mortality was 23.3 % (17 patients), and morbidity was 21.4 % (12 patients out of 56 surviving patients). Prognostic factors included clinical status (patients in shock or cardiac arrest had a mortality rate of 50 % and 60 %, respectively), cardiopulmonary resuscitation (CPR; mortality rate: 68.2 %) and ER thoracotomy (mortality rate: 66.7 %). CONCLUSION: Clinical status as shock, CPR and ER thoracotomy were prognostic of a poor outcome and associated with high mortality rates. |
| | |
Authors:
|
N N Gwely; A Mowafy; S Khalaf; S Amer; U Hamza; M El-Saeed |
Related Documents
:
|
18435765 - Prehospital identification of stroke--room for improvement. 18807395 - Majority of emergency patients don't understand discharge instructions. 19110145 - Aneurysmal subarachnoid hemorrhage in a mexican multicenter registry of cerebrovascular... 17097425 - Outpatient angioplasty and stenting facilitated by percutaneous arterial suture closure... 8612025 - The ten-year mortality in behçet's syndrome. 8645835 - Diagnostic utility of thoracentesis for neutropenic children with cancer. |
Publication Detail:
|
Type: Journal Article Date: 2010-05-31 |
Journal Detail:
|
Title: The Thoracic and cardiovascular surgeon Volume: 58 ISSN: 1439-1902 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-06-01 Completed Date: 2010-09-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
|
Languages: eng Pagination: 210-4 Citation Subset: IM |
Affiliation:
|
Cardiothoracic Surgery, Mansoura Faculty of Medicine, Mansoura, Egypt. dr.noureldin_noaman@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Cardiopulmonary Resuscitation Egypt Emergency Service, Hospital Female Heart Arrest / etiology, surgery Heart Injuries / complications, mortality, surgery* Humans Male Middle Aged Operating Rooms Retrospective Studies Risk Assessment Risk Factors Shock, Cardiogenic / etiology, surgery Thoracotomy* / adverse effects, mortality Treatment Outcome Wounds, Stab / complications, mortality, surgery* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Minimized Extracorporeal Circulation in Coronary Artery Bypass Surgery Is Equivalent to Standard Ext...
Next Document: Integrated Positron Emission Tomography-Computed Tomography Does Not Accurately Stage Intrathoracic ...