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The journal of cardiothoracic trauma最新文献

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Late cardiac tamponade after cardiac trauma: A case report and a review 心脏外伤后迟发性心包填塞1例报告及复习
The journal of cardiothoracic trauma Pub Date : 2017-01-01 DOI: 10.4103/JCTT.JCTT_6_17
Bruno da Costa Medeiros, Hugo de Castro Negreiros, L. Pessoa
{"title":"Late cardiac tamponade after cardiac trauma: A case report and a review","authors":"Bruno da Costa Medeiros, Hugo de Castro Negreiros, L. Pessoa","doi":"10.4103/JCTT.JCTT_6_17","DOIUrl":"https://doi.org/10.4103/JCTT.JCTT_6_17","url":null,"abstract":"The pericarditis is an inflammation process of the pericardium with lots of causes, primary and secondary. It may progress with pericardial effusion and/or constrictive pericarditis. The presentation as late cardiac tamponade due to trauma is a rare clinical condition and may occur days or weeks after trauma. We report a case observed in a trauma hospital of Manaus-Amazonas, Brazil periphery. The patient presented to the hospital 18 days after a chest trauma with signs and symptoms of cardiac tamponade: tachycardia, turgid jugular veins, inferior limbs swollen, presenting breathing difficulties, and supine position not tolerated. He underwent exploratory thoracotomy, and a thick pericardium with purulent effusion was found. It is important to suspect cadiac injury in patients who are victims of trauma on cardiac box, to observe that the focused assessment sonography for trauma is used, but it has its limitations. It is 90%–95% accurate for the presence of pericardial fluid for the experienced operator. Concomitant hemothorax may account for both false-positive and false-negative ultrasound examinations.[2] When necessary, the subxiphoid exploration must be done. The possibility of occult cardiac lesion or silent cardiac wound should always be considered in patients with chest trauma by knife or gunshot on Zieddler area or cardiac box, to prevent a late cardiac tamponade or pericarditis.","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"2 1","pages":"10 - 13"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42097561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intercostal pericardial window: A Safe, expedient, and effective minimally invasive technique 肋间心包窗：一种安全、方便、有效的微创技术
The journal of cardiothoracic trauma Pub Date : 2017-01-01 DOI: 10.4103/jctt.jctt_4_17
M. Rashid, F. Holmner
{"title":"Intercostal pericardial window: A Safe, expedient, and effective minimally invasive technique","authors":"M. Rashid, F. Holmner","doi":"10.4103/jctt.jctt_4_17","DOIUrl":"https://doi.org/10.4103/jctt.jctt_4_17","url":null,"abstract":"","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"2 1","pages":"21 - 22"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46286846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pneumomediastinum as Revealed during Video-assisted Thoracoscopic Surgery 胸腔镜手术中发现的纵隔气肿
The journal of cardiothoracic trauma Pub Date : 2017-01-01 DOI: 10.4103/JCTT.JCTT_2_17
M. Rashid
{"title":"Pneumomediastinum as Revealed during Video-assisted Thoracoscopic Surgery","authors":"M. Rashid","doi":"10.4103/JCTT.JCTT_2_17","DOIUrl":"https://doi.org/10.4103/JCTT.JCTT_2_17","url":null,"abstract":"","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"2 1","pages":"23 - 23"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43050544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The emerging educational power of the journal of cardiothoracic trauma: Highlights of direct lethal injuries 《心胸创伤杂志》的新兴教育力量:直接致命伤害的重点
The journal of cardiothoracic trauma Pub Date : 2017-01-01 DOI: 10.4103/jctt.jctt_5_17
M. Rashid
{"title":"The emerging educational power of the journal of cardiothoracic trauma: Highlights of direct lethal injuries","authors":"M. Rashid","doi":"10.4103/jctt.jctt_5_17","DOIUrl":"https://doi.org/10.4103/jctt.jctt_5_17","url":null,"abstract":"","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"7 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70788229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traumatic tension pneumopericardium: A rare complication 创伤性紧张性心包积气：一种罕见的并发症
The journal of cardiothoracic trauma Pub Date : 2017-01-01 DOI: 10.4103/jctt.jctt_12_16
P. Vivekananthan, M. Sivakumar, M. Hisham, S. Lakshmikanthcharan
{"title":"Traumatic tension pneumopericardium: A rare complication","authors":"P. Vivekananthan, M. Sivakumar, M. Hisham, S. Lakshmikanthcharan","doi":"10.4103/jctt.jctt_12_16","DOIUrl":"https://doi.org/10.4103/jctt.jctt_12_16","url":null,"abstract":"A 36- year old male was admitted with shock following a road traffic accident. The patient had a low Glasgow Coma Scale score of 8/15 for which he was ventilated and intubated. Computed tomography scan showed pneumomediastinum and pneumopericardium along with left-sided hemopneumothorax. Hemopneumothorax was addressed with an intercostal drain. There was no further blood loss. Persisting hemodynamic compromise needing inotropic support prompted a diagnosis of tamponading effect of pneumopericardium. Pericardiocentesis was performed which resulted in immediate hemodynamic stability. The patient was discharged from intensive care unit after tracheostomy and had a complete recovery. Tension pneumopericardium is an extremely rare condition which can be fatal if left untreated. Prompt suspicion, diagnosis, and treatment of the condition in a hemodynamically unstable trauma patient can be lifesaving.","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"2 1","pages":"14 - 16"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44563775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Chest trauma: “Damage Control” Begins in the emergency room 胸部创伤:“损害控制”从急诊室开始
The journal of cardiothoracic trauma Pub Date : 2017-01-01 DOI: 10.4103/JCTT.JCTT_3_17
B. Phillips, L. Turco
{"title":"Chest trauma: “Damage Control” Begins in the emergency room","authors":"B. Phillips, L. Turco","doi":"10.4103/JCTT.JCTT_3_17","DOIUrl":"https://doi.org/10.4103/JCTT.JCTT_3_17","url":null,"abstract":"Background: Patients with severe thoracic injuries and subsequent physiological decline may not be candidates for initial definitive treatment. Despite limited data, this subset of patients may benefit from the implementation of thoracic damage control, which should begin in the emergency room. Methods: A literature search was conducted through Medline following PRISMA guidelines. Articles that focused on damage control surgery, the use of damage control techniques in traumatic injuries, and the use of damage control in civilian populations were selected. Due to the paucity of literature and lack of Level I evidence on this subject, studies published in any year were considered. Results: A search of the literature yielded 119 studies. Most of these were excluded based on inclusion and exclusion criteria. Thirty-five articles were selected for review. The majority of these were classified as Level III, IV, or V evidence. Limitations: Limitations of this article are similar to all PRISMA-guided review articles: The dependence on previously published research and availability of references. Conclusion: Effective “Damage Control” following a traumatic injury begins with initial management in the emergency department, which is followed by an abbreviated operation, equally aggressive critical care, and a planned reexploration. Additional studies are required to examine the adaptation of specific damage control techniques to thoracic injuries, but patients with severe chest trauma can benefit from initiation of damage control strategies in the emergency room.","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"2 1","pages":"3 - 9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70787480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamic Diaphragmatic Rupture: The Diving Stomach into the Chest 动态膈肌破裂:腹部潜入胸部
The journal of cardiothoracic trauma Pub Date : 2016-07-01 DOI: 10.4103/2542-6281.194057
M. Rashid
{"title":"Dynamic Diaphragmatic Rupture: The Diving Stomach into the Chest","authors":"M. Rashid","doi":"10.4103/2542-6281.194057","DOIUrl":"https://doi.org/10.4103/2542-6281.194057","url":null,"abstract":"","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"1 1","pages":"21 - 21"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70628374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac Tamponade from Isolated Right Atrial Rupture: A Rare Presentation of Blunt Chest Trauma Without Rib Fracture 孤立性右心房破裂引起的心脏填塞:一种罕见的无肋骨骨折的钝性胸部创伤
The journal of cardiothoracic trauma Pub Date : 2016-07-01 DOI: 10.4103/2542-6281.194054
Ganesh Kumar K. Ammannaya, C. Raut, C. Mohapatra, H. Seth
{"title":"Cardiac Tamponade from Isolated Right Atrial Rupture: A Rare Presentation of Blunt Chest Trauma Without Rib Fracture","authors":"Ganesh Kumar K. Ammannaya, C. Raut, C. Mohapatra, H. Seth","doi":"10.4103/2542-6281.194054","DOIUrl":"https://doi.org/10.4103/2542-6281.194054","url":null,"abstract":"Cardiac tamponade resulting from blunt chest trauma is an emergent and life-threatening condition. Cardiac rupture from blunt chest trauma is not a common presentation, and more so in the absence of rib or sternal fracture. We present a case of blunt chest trauma, who presented with features of cardiac tamponade. Emergency sternotomy revealed a right atrial rupture near the appendage which was surgically repaired. The patient also underwent simultaneous splenectomy for Grade 4 splenic injury. The patient recovered uneventfully. Prompt recognition of the injury based on a high index of suspicion must lead to immediate surgical intervention in order for these patients to survive, even in the absence of specialized imaging investigations.","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"1 1","pages":"13 - 15"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70628292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Chest Tube Insertion: A Safe and Simple Technique 胸管插入:一种安全而简单的技术
The journal of cardiothoracic trauma Pub Date : 2016-07-01 DOI: 10.4103/2542-6281.194053
M. Rashid
{"title":"Chest Tube Insertion: A Safe and Simple Technique","authors":"M. Rashid","doi":"10.4103/2542-6281.194053","DOIUrl":"https://doi.org/10.4103/2542-6281.194053","url":null,"abstract":"","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"1 1","pages":"12 - 12"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70628215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tension Pneumomediastinum in a Patient with H1N1 Pneumonia: A Rare Case Report H1N1肺炎张力性纵隔气肿1例:罕见病例报告
The journal of cardiothoracic trauma Pub Date : 2016-07-01 DOI: 10.4103/2542-6281.194055
Chenna Keshava, S. Balasundaram, Maria Denzil
{"title":"Tension Pneumomediastinum in a Patient with H1N1 Pneumonia: A Rare Case Report","authors":"Chenna Keshava, S. Balasundaram, Maria Denzil","doi":"10.4103/2542-6281.194055","DOIUrl":"https://doi.org/10.4103/2542-6281.194055","url":null,"abstract":"We report here the case of a 28-year-old pregnant woman who developed adult respiratory distress syndrome, ventilator-associated injury, and sepsis following H1N1 virus infection. She presented with rapidly worsening breathlessness and a 4-day history of fever. Initial computed tomography scan of the chest showed right mid and lower zone alveolar infiltrates. Immediate postadmission, she was tachypneic and required high concentration oxygen to maintain saturations. The patient recovered following prolonged ventilator support, moderate inotrope support, and 6 weeks of hospital stay. The study highlights the significance of prompt diagnosis and management of tension pneumomediastinum to prevent any life-threatening complications.","PeriodicalId":92962,"journal":{"name":"The journal of cardiothoracic trauma","volume":"1 1","pages":"16 - 18"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70627968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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