Penetrating Cardiac Wounds: Principles for Surgical Management
Stab wounds are the main type of penetrating cardiac injury in China and they have a fairly good prognosis when the patient receives expeditious and appropriate management. The objective of this study is to present the experience of managing the patients with penetrating cardiac injuries. A retrospe...
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| Veröffentlicht in: | World journal of surgery 2004-10, Vol.28 (10), p.1025-1029 |
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| creator | Gao, Jin‐mou Gao, Yun‐han Wei, Gong‐bin Liu, Guo‐long Tian, Xian‐yang Hu, Ping Li, Chang‐hua |
| description | Stab wounds are the main type of penetrating cardiac injury in China and they have a fairly good prognosis when the patient receives expeditious and appropriate management. The objective of this study is to present the experience of managing the patients with penetrating cardiac injuries. A retrospective study involving 82 cases with penetrating wounds of the heart in the past 16 years was carried out. Stab wounds accounted for 86.58% of this series (71 of 82 patients). All 82 cases were treated operatively. The amount of preoperative infusion as fluid resuscitation for shock was less than 1,000 ml in 65.85% of the present study. Only in three patients was preoperative pericardiocentesis performed, yielding a false‐negative result in one. Six patients sustaining cardiac arrest soon after arrival were subjected to emergency room thoracotomy (ERT), and five of them surviced. The overall survival rate was 96.34%. One patient died of exsanguination due to injury of multiple chambers; of the remaining 2 deaths after operation 1 was associated with abdominal injuries and the other with failure of cerebral resuscitation. From the experience reported in this study, early establishment of diagnosis and prompt thoracotomy against time are the fundamental factors affecting the outcome of penetrating cardiac injuries. Preoperative massive transfusion and pericardiocentesis are not advocated. |
| doi_str_mv | 10.1007/s00268-004-7523-0 |
| format | Article |
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The objective of this study is to present the experience of managing the patients with penetrating cardiac injuries. A retrospective study involving 82 cases with penetrating wounds of the heart in the past 16 years was carried out. Stab wounds accounted for 86.58% of this series (71 of 82 patients). All 82 cases were treated operatively. The amount of preoperative infusion as fluid resuscitation for shock was less than 1,000 ml in 65.85% of the present study. Only in three patients was preoperative pericardiocentesis performed, yielding a false‐negative result in one. Six patients sustaining cardiac arrest soon after arrival were subjected to emergency room thoracotomy (ERT), and five of them surviced. The overall survival rate was 96.34%. One patient died of exsanguination due to injury of multiple chambers; of the remaining 2 deaths after operation 1 was associated with abdominal injuries and the other with failure of cerebral resuscitation. From the experience reported in this study, early establishment of diagnosis and prompt thoracotomy against time are the fundamental factors affecting the outcome of penetrating cardiac injuries. Preoperative massive transfusion and pericardiocentesis are not advocated.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-004-7523-0</identifier><identifier>PMID: 15573259</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer‐Verlag</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cardiac Tamponade ; Cardiac Wound ; Chest Wound ; Constrictive Pericarditis ; Female ; General aspects ; Heart Injuries - surgery ; Hemorrhagic Shock ; Humans ; Injuries of the thorax. Foreign bodies. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Traumas. Diseases due to physical agents ; Wounds, Penetrating - surgery ; Wounds, Stab - surgery</subject><ispartof>World journal of surgery, 2004-10, Vol.28 (10), p.1025-1029</ispartof><rights>2004 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4062-ecd349f103b54714a457b081bbdadb852aaa0f66a9b98d3cb476c2183ac0c5d3</citedby><cites>FETCH-LOGICAL-c4062-ecd349f103b54714a457b081bbdadb852aaa0f66a9b98d3cb476c2183ac0c5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs00268-004-7523-0$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs00268-004-7523-0$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16304366$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15573259$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gao, Jin‐mou</creatorcontrib><creatorcontrib>Gao, Yun‐han</creatorcontrib><creatorcontrib>Wei, Gong‐bin</creatorcontrib><creatorcontrib>Liu, Guo‐long</creatorcontrib><creatorcontrib>Tian, Xian‐yang</creatorcontrib><creatorcontrib>Hu, Ping</creatorcontrib><creatorcontrib>Li, Chang‐hua</creatorcontrib><title>Penetrating Cardiac Wounds: Principles for Surgical Management</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><description>Stab wounds are the main type of penetrating cardiac injury in China and they have a fairly good prognosis when the patient receives expeditious and appropriate management. The objective of this study is to present the experience of managing the patients with penetrating cardiac injuries. A retrospective study involving 82 cases with penetrating wounds of the heart in the past 16 years was carried out. Stab wounds accounted for 86.58% of this series (71 of 82 patients). All 82 cases were treated operatively. The amount of preoperative infusion as fluid resuscitation for shock was less than 1,000 ml in 65.85% of the present study. Only in three patients was preoperative pericardiocentesis performed, yielding a false‐negative result in one. Six patients sustaining cardiac arrest soon after arrival were subjected to emergency room thoracotomy (ERT), and five of them surviced. The overall survival rate was 96.34%. One patient died of exsanguination due to injury of multiple chambers; of the remaining 2 deaths after operation 1 was associated with abdominal injuries and the other with failure of cerebral resuscitation. From the experience reported in this study, early establishment of diagnosis and prompt thoracotomy against time are the fundamental factors affecting the outcome of penetrating cardiac injuries. Preoperative massive transfusion and pericardiocentesis are not advocated.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiac Tamponade</subject><subject>Cardiac Wound</subject><subject>Chest Wound</subject><subject>Constrictive Pericarditis</subject><subject>Female</subject><subject>General aspects</subject><subject>Heart Injuries - surgery</subject><subject>Hemorrhagic Shock</subject><subject>Humans</subject><subject>Injuries of the thorax. Foreign bodies. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds, Penetrating - surgery</subject><subject>Wounds, Stab - surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqF0E1r3DAQgGFRWppN2h_QSzGF5OZkpNGHlUMgXfLRkNKFDeQoxrK8OHjtjbSm5N9XYRcCufQkHZ4ZiZexbxxOOYA5SwBCVyWALI0SWMIHNuMSRSlQ4Ec2A9Qy3zkesMOUngC40aA_swOulEGh7IxdLMIQtpG23bAq5hSbjnzxOE5Dk86LRewG3236kIp2jMVyiqvOU1_8poFWYR2G7Rf2qaU-ha_784g9XF89zG_L-z83v-aX96WXoEUZfIPSthywVtJwSVKZGipe1w01daUEEUGrNdnaVg36WhrtBa-QPHjV4BE72a3dxPF5Cmnr1l3yoe9pCOOUnDYcK6Nthj_ewadxikP-mhPcWqxEpTLiO-TjmFIMrdvEbk3xxXFwr2HdLqzLYd1rWAd55vt-8VSvQ_M2sS-ZwfEeUMqN2kg5XXpzGkGi1tnZnfvb9eHl_y-7x7vlz2sQaAX-A7kuj_w</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>Gao, Jin‐mou</creator><creator>Gao, Yun‐han</creator><creator>Wei, Gong‐bin</creator><creator>Liu, Guo‐long</creator><creator>Tian, Xian‐yang</creator><creator>Hu, Ping</creator><creator>Li, Chang‐hua</creator><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>Penetrating Cardiac Wounds: Principles for Surgical Management</title><author>Gao, Jin‐mou ; Gao, Yun‐han ; Wei, Gong‐bin ; Liu, Guo‐long ; Tian, Xian‐yang ; Hu, Ping ; Li, Chang‐hua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4062-ecd349f103b54714a457b081bbdadb852aaa0f66a9b98d3cb476c2183ac0c5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cardiac Tamponade</topic><topic>Cardiac Wound</topic><topic>Chest Wound</topic><topic>Constrictive Pericarditis</topic><topic>Female</topic><topic>General aspects</topic><topic>Heart Injuries - surgery</topic><topic>Hemorrhagic Shock</topic><topic>Humans</topic><topic>Injuries of the thorax. Foreign bodies. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Penetrating - surgery</topic><topic>Wounds, Stab - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gao, Jin‐mou</creatorcontrib><creatorcontrib>Gao, Yun‐han</creatorcontrib><creatorcontrib>Wei, Gong‐bin</creatorcontrib><creatorcontrib>Liu, Guo‐long</creatorcontrib><creatorcontrib>Tian, Xian‐yang</creatorcontrib><creatorcontrib>Hu, Ping</creatorcontrib><creatorcontrib>Li, Chang‐hua</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gao, Jin‐mou</au><au>Gao, Yun‐han</au><au>Wei, Gong‐bin</au><au>Liu, Guo‐long</au><au>Tian, Xian‐yang</au><au>Hu, Ping</au><au>Li, Chang‐hua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Penetrating Cardiac Wounds: Principles for Surgical Management</atitle><jtitle>World journal of surgery</jtitle><addtitle>World J Surg</addtitle><date>2004-10</date><risdate>2004</risdate><volume>28</volume><issue>10</issue><spage>1025</spage><epage>1029</epage><pages>1025-1029</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Stab wounds are the main type of penetrating cardiac injury in China and they have a fairly good prognosis when the patient receives expeditious and appropriate management. The objective of this study is to present the experience of managing the patients with penetrating cardiac injuries. A retrospective study involving 82 cases with penetrating wounds of the heart in the past 16 years was carried out. Stab wounds accounted for 86.58% of this series (71 of 82 patients). All 82 cases were treated operatively. The amount of preoperative infusion as fluid resuscitation for shock was less than 1,000 ml in 65.85% of the present study. Only in three patients was preoperative pericardiocentesis performed, yielding a false‐negative result in one. Six patients sustaining cardiac arrest soon after arrival were subjected to emergency room thoracotomy (ERT), and five of them surviced. The overall survival rate was 96.34%. One patient died of exsanguination due to injury of multiple chambers; of the remaining 2 deaths after operation 1 was associated with abdominal injuries and the other with failure of cerebral resuscitation. From the experience reported in this study, early establishment of diagnosis and prompt thoracotomy against time are the fundamental factors affecting the outcome of penetrating cardiac injuries. Preoperative massive transfusion and pericardiocentesis are not advocated.</abstract><cop>New York</cop><pub>Springer‐Verlag</pub><pmid>15573259</pmid><doi>10.1007/s00268-004-7523-0</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Cardiac Tamponade Cardiac Wound Chest Wound Constrictive Pericarditis Female General aspects Heart Injuries - surgery Hemorrhagic Shock Humans Injuries of the thorax. Foreign bodies. Diseases due to physical agents Male Medical sciences Middle Aged Traumas. Diseases due to physical agents Wounds, Penetrating - surgery Wounds, Stab - surgery |
| title | Penetrating Cardiac Wounds: Principles for Surgical Management |
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