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[Peace-time injuries of the heart and pericardium]
Klinicheskaia Khirurgiia
|January 1, 1989
Insights
Emergency surgery is the best treatment for knife injuries to the heart and pericardium. Blood reinfusion improved outcomes, but pericardial puncture showed limited therapeutic value in this patient cohort.
Area of Science:
- Cardiovascular Surgery
- Trauma Care
- Emergency Medicine
Context:
- Summarizes treatment experience for 93 patients with penetrating cardiac and pericardial injuries.
- Highlights the critical nature of chest trauma requiring immediate medical intervention.
Purpose:
- To evaluate the effectiveness of different treatment strategies for knife injuries to the heart and pericardium.
- To determine the optimal therapeutic approach for cardiac trauma.
Summary:
- Emergency operative intervention is the primary and most effective treatment for heart and pericardium injuries.
- Blood reinfusion demonstrated positive treatment outcomes.
- The therapeutic benefit of pericardial puncture was found to be uncertain, with a 15.1% mortality rate observed.
Impact:
- Emphasizes the critical role of prompt surgical intervention in improving survival rates for penetrating cardiac injuries.
- Suggests that blood reinfusion is a valuable adjunct in managing these severe trauma cases.
- Informs clinical decision-making regarding the management of pericardial injuries.
Abstract:
The experience with the treatment of 93 patients with knife injury to the heart and pericardium is summarized. The only proper therapeutical tactics in injury to the heart and pericardium is the emergency performance of operative intervention. The therapeutical value of pericardial punction is doubtful. Good results of treatment were achieved after the use of blood reinfusion. Fourteen (15.1%) patients died.