Document Detail


Successful resuscitation by emergency room thoracotomy in a patient in agonal state with hemorrhagic shock resulting from penetrating cardiac injury.
MedLine Citation:
PMID:  12377619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 23-year-old male patient, who was stabbed in the left chest at the fourth intercostal space leaving a 4-cm wound, was in agonal state with blood pressure of 0/0 kPa when admitted. The patient underwent emergency room thoractomy on stretcher through the left fourth intercostal anterior lateral incision 16 min after injury. The exploration revealed 2 500 ml blood in the plural cavity, 4-cm wound in the pericardium, 2-cm wound in the right ventricle of the heart without asystole, and 5-cm wound in the left upper lobe of the lung. Within 4 min the wound in the heart was sutured with the pericardium as the backing. The patient was discharged with full recovery 8 d after injury.
Authors:
Xu Wu; Wu-Jun Wang; Xian-Fu Sang; Zhen-Fu Hu; Gang Chen; Dong-Sheng Chen; Gang Guo; Qian Xiang; Ke Tian; Yue-Hua Peng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA     Volume:  22     ISSN:  1000-2588     ISO Abbreviation:  Di Yi Jun Yi Da Xue Xue Bao     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-14     Completed Date:  2003-01-13     Revised Date:  2006-03-02    
Medline Journal Info:
Nlm Unique ID:  9426110     Medline TA:  Di Yi Jun Yi Da Xue Xue Bao     Country:  China    
Other Details:
Languages:  eng     Pagination:  918-8     Citation Subset:  IM    
Affiliation:
Department of Thoracic Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiopulmonary Resuscitation / methods
Emergency Service, Hospital*
Heart Injuries / surgery*
Humans
Male
Shock, Hemorrhagic / surgery*
Thoracotomy
Treatment Outcome
Wounds, Stab / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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