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[Diagnosis and treatment heart and pericardium wounds]
Insights
This study reviews 152 cases of heart and pericardium wounds, finding left anterolateral thoracotomy optimal. High mortality is linked to severe injuries, with pericarditis being a common complication effectively managed with anti-inflammatory drugs.
Area of Science:
- Cardiovascular Surgery
- Trauma Care
- Diagnostic Imaging
Background:
- Chest trauma management requires prompt and accurate diagnosis.
- Heart and pericardium injuries present significant challenges in treatment and prognosis.
- Understanding complications like pericarditis is crucial for patient outcomes.
Purpose of the Study:
- To present the experience in diagnosing and treating heart and pericardium wounds.
- To identify optimal surgical approaches and assess outcomes.
- To evaluate the incidence and management of postoperative pericarditis.
Main Methods:
- Retrospective analysis of 152 patients with heart and pericardium wounds.
- Diagnostic tools included X-ray examination and echocardiography for obscure cases.
- Surgical intervention involved left anterolateral thoracotomy.
Main Results:
- A total lethality of 23.6% was observed, attributed to associated injuries.
- Left anterolateral thoracotomy was identified as the optimal surgical approach.
- Postoperative pericarditis occurred in 91% of patients, evidenced by echographic symptoms.
Conclusions:
- Prompt diagnosis using imaging techniques is vital.
- Left anterolateral thoracotomy is the preferred surgical method for heart and pericardium wounds.
- Pericarditis is a frequent complication, effectively managed with anti-inflammatory medications.
Abstract:
The experience of diagnosis and treatment of heart and pericardium wounds in 152 patients are presented. In obecure diagnosis the authors prefer X-ray examination and echocardiography. Total lethality was 23.6%. Its high level is due to injury of coronary arteries and intracardiac structures, other thoracic and abdominal organs. The left anterolaferal thoracotomy is the optimum approach in wounds of the heart and pericardium. The most frequent complication of postoperative period is pericarditis, its echographic symptoms were revealed in 91% examinys. Non-steroid and steroid antiinflammatory drugs are effective for prophylaxis and treatment of pericarditis.