[Results and main principles of surgical treatment of heart wounds]
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Insights
This study analyzed 108 heart wound patients from 2000-2009, primarily intoxicated men with stab chest wounds. Treatment improvements reduced surgical delays, but high mortality persists for stab-incised heart injuries.
Area of Science:
- Cardiovascular Surgery
- Trauma Medicine
- Forensic Pathology
Background:
- Heart wounds pose significant mortality risks.
- Stab-incised chest wounds are a common cause of cardiac trauma.
- Alcohol intoxication is frequently associated with violent injuries.
Purpose of the Study:
- To analyze patient demographics and injury patterns in cardiac wounds.
- To evaluate treatment timelines and outcomes for heart injuries.
- To identify key principles for managing stab-incised heart wounds.
Main Methods:
- Retrospective analysis of 108 patients with heart wounds (2000-2009).
- Categorization of injuries, focusing on stab-incised chest wounds and cardiac structures.
- Evaluation of prehospital and in-hospital treatment durations.
- Assessment of postoperative lethality rates.
Main Results:
- The primary demographic was able-bodied men, often alcohol-intoxicated.
- Stab-incised chest wounds, particularly left ventricle and isolated pericardium injuries, were most prevalent.
- Penetrating heart wounds occurred in 68 patients; 9 had perforating injuries.
- Average prehospital time was 48.2 minutes; recent surgical times decreased by 18 minutes.
- Postoperative lethality ranged from 55.5% to 15.4%.
Conclusions:
- Effective management principles for stab-incised heart wounds have been formulated.
- Timely surgical intervention is crucial, with demonstrated improvements in recent years.
- High mortality rates underscore the severity of cardiac trauma, necessitating continued research and optimized treatment protocols.
Abstract:
In the years 2000-2009 there were 108 patients with wounds to the heart. The main group of the victims consisted of able-bodied men in the state of alcohol intoxication. Vast majority of the patients had stab-incised wounds of the chest, injuries of the left ventricle and isolated pericardium being prevailing. Penetrating wounds of the heart were diagnosed in 68 patients, 9 of them had perforating wounds. The average time of prehospital period was (48.2 +/- 24.2) min. During the recent four years the time from admission to hospital to operation became 18 min shorten at an average. Postoperative lethality of patients with stab-incised wounds of the heart varied from 55.5 to 15.4%. The author has formulated the main principles of treatment of such category of victims.
