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[Injuries and wounds of the heart and pericardium in children]
Vestnik Khirurgii Imeni I. I. Grekova
|December 1, 1978
Insights
Pediatric heart injuries are rare, with 18 children experiencing wounds to the heart or pericardium. Of these, 11 children died, and 7 recovered, though 4 faced complications.
Area of Science:
- Cardiovascular Surgery
- Pediatric Traumatology
- Thoracic Medicine
Background:
- Wounds and injuries to the heart and pericardium represent critical medical emergencies.
- Understanding the epidemiology and outcomes of pediatric cardiac trauma is essential for improving patient care.
- This study focuses on a specific cohort of children experiencing blunt or penetrating cardiac trauma.
Observation:
- The study reviewed 420 cases of heart and pericardium injuries.
- A subgroup of 18 pediatric patients (4 girls, 14 boys) was identified within this cohort.
- These children presented with various forms of traumatic cardiac injury.
Findings:
- Mortality was high, with 11 out of 18 children succumbing to their injuries.
- Seven children died immediately (on-site), while 4 died post-operatively in surgical clinics.
- Seven children survived, but 4 of them experienced significant post-injury complications, highlighting long-term morbidity.
Implications:
- Pediatric cardiac trauma carries a substantial mortality and morbidity rate.
- Prompt diagnosis and aggressive management are crucial for improving survival in pediatric cardiac injuries.
- Further research into preventative strategies and optimized treatment protocols for children with heart injuries is warranted.
Abstract:
Among 420 cases of wounds and injuries to the heart and the pericardium the authors observed 18 children (4 girls and 14 boys). 11 children died: 7 of them died on the spot, 4 in surgical clinics; 7 children recovered, 4 of them developed complications.