心脏外科医生对穿透性心脏损伤22例的疗效分析

A. Duzgun, E. Ilkeli
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引用次数: 0

摘要

目的:心脏创伤具有严重的生命危险。尽管患者在入院时可能有正常的生命体征,但据报道死亡率高达69%。我们认为,心脏外科医生进行初步评估和早期干预可能对降低死亡率有影响。材料和方法:本研究纳入22例有心脏外伤史的患者。本研究对申请急救服务后手术的患者进行回顾性分析。İndividuals在入院时因心脏骤停死亡的患者被排除在研究之外。经胸骨切开或开胸手术的心脏穿透性损伤患者也被纳入分析。结果:入院时4例患者出现休克,2例患者因心脏骤停而进行复苏。枪伤病例占27% (n=6),其中存活3例,死亡3例。刺伤病例占73% (n=16),生存率为75% (n=4/16)。开胸手术的比例比开胸手术少,分别为13.6% (n=3)和86.4% (n=19)。总死亡率为32% (n=7)。Conclusıon:根据这项研究的结果,我们可以说,由心脏外科医生对心脏创伤患者进行初步干预可以降低死亡率和发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OUTCOMES OF PENETRATING CARDIAC INJURIES – A CARDIAC SURGEON APPROACH TO 22 CASES
Aim: Cardiac traumas are of great danger as they have life threatening potential. Although the patient may have normal vital signs at the time of admission the rate of mortality rate has been reported up to 69%. We believe that conducting the initial evaluation and early intervention by a cardiac surgeon may have an impact on decreased mortality. Material and methods: This study has been conducted with 22 patients that have been admitted with cardiac trauma history. The subjects who were operated after applying to emergency service have been enrolled in this retrospective analysis. İndividuals died due to cardiac arrest at admission have been excluded from the study. The subjects with penetrating cardiac injury who have undergone sternotomy or thoracotomy has been included in the analysis. Results: At the time of admission 4 patients has been presented with shock and 2 patients had been administered resuscitation due to cardiac arrest. The gun shot wound cases were 27% (n=6) and of these cases 3 of them were alive while the remaining 3 died. The stab wound cases were 73% (n=16) withh a higher survival rate of 75% (n=4/16). Thoracotomy has been conducted less than sternotomy as the rate was 13.6% (n=3) versus 86.4% (n=19). The overall rate of mortality has been found as 32% (n=7). Conclusıon: According to the results of this study one can say that conducting initial intervention to cardiac trauma patients by a cardiac surgeon reduced the rate of mortality and morbidity.
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