Pericardial tamponade due to penetrating fragment wounds of the heart
Ten cases of pericardial tamponade due to penetrating fragment wounds of the heart seen at a surgical hospital in Vietnam are presented. Two of the three deaths in this series were due to associated injuries. The diagnosis of pericardial tamponade must be suspected in any penetrating wound of the th...
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| Veröffentlicht in: | The American journal of surgery 1969-10, Vol.118 (4), p.535-538 |
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| container_title | The American journal of surgery |
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| creator | Tassi, Albert A. Davies, Allen L. |
| description | Ten cases of pericardial tamponade due to penetrating fragment wounds of the heart seen at a surgical hospital in Vietnam are presented. Two of the three deaths in this series were due to associated injuries.
The diagnosis of pericardial tamponade must be suspected in any penetrating wound of the thorax or upper part of the abdomen, especially if the response to adequate blood and fluid replacement is suboptimal. The classical signs of pericardial tamponade, such as elevated central venous pressure, poor peripheral perfusion, and distant heart sounds, may be altered or nonspecific in the hypovolemic patient.
Some cases of pericardial tamponade can be handled conservatively with initial pericardiocentesis. However, the advantages of early surgical decompression once the diagnosis is established seem so great that conservative treatment is rarely indicated. |
| doi_str_mv | 10.1016/0002-9610(69)90177-9 |
| format | Article |
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The diagnosis of pericardial tamponade must be suspected in any penetrating wound of the thorax or upper part of the abdomen, especially if the response to adequate blood and fluid replacement is suboptimal. The classical signs of pericardial tamponade, such as elevated central venous pressure, poor peripheral perfusion, and distant heart sounds, may be altered or nonspecific in the hypovolemic patient.
Some cases of pericardial tamponade can be handled conservatively with initial pericardiocentesis. However, the advantages of early surgical decompression once the diagnosis is established seem so great that conservative treatment is rarely indicated.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(69)90177-9</identifier><identifier>PMID: 5821686</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cardiac Tamponade - complications ; Cardiac Tamponade - diagnosis ; Cardiac Tamponade - etiology ; Cardiac Tamponade - surgery ; Heart Injuries - complications ; Humans ; Male ; Military Medicine ; Pericardium - diagnostic imaging ; Radiography ; United States ; Vietnam</subject><ispartof>The American journal of surgery, 1969-10, Vol.118 (4), p.535-538</ispartof><rights>1969</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-ce86bb500b020babce3fab0849070ecde8f70001998616cb3f4958427b6a3d353</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9610(69)90177-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5821686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tassi, Albert A.</creatorcontrib><creatorcontrib>Davies, Allen L.</creatorcontrib><title>Pericardial tamponade due to penetrating fragment wounds of the heart</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Ten cases of pericardial tamponade due to penetrating fragment wounds of the heart seen at a surgical hospital in Vietnam are presented. Two of the three deaths in this series were due to associated injuries.
The diagnosis of pericardial tamponade must be suspected in any penetrating wound of the thorax or upper part of the abdomen, especially if the response to adequate blood and fluid replacement is suboptimal. The classical signs of pericardial tamponade, such as elevated central venous pressure, poor peripheral perfusion, and distant heart sounds, may be altered or nonspecific in the hypovolemic patient.
Some cases of pericardial tamponade can be handled conservatively with initial pericardiocentesis. However, the advantages of early surgical decompression once the diagnosis is established seem so great that conservative treatment is rarely indicated.</description><subject>Cardiac Tamponade - complications</subject><subject>Cardiac Tamponade - diagnosis</subject><subject>Cardiac Tamponade - etiology</subject><subject>Cardiac Tamponade - surgery</subject><subject>Heart Injuries - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Military Medicine</subject><subject>Pericardium - diagnostic imaging</subject><subject>Radiography</subject><subject>United States</subject><subject>Vietnam</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1969</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gUJOoofVpNnNJhdBSv2Agh70HPIx20a6uzXJKv57d23p0dMwzPu-M_MgdE7JDSWU3xJCppnklFxxeS0JLctMHqAxFaXMqBDsEI33kmN0EuNH31KasxEaFWJKueBjNH-F4K0Ozus1TrretI12gF0HOLV4Aw2koJNvlrgKellDk_B32zUu4rbCaQV4BTqkU3RU6XWEs12doPeH-dvsKVu8PD7P7heZZUWZMguCG1MQYsiUGG0ssEobInJJSgLWgajK4UYpBafcGlblshD5tDRcM8cKNkGX29xNaD87iEnVPlpYr3UDbRdVry0kk6IX5luhDW2MASq1Cb7W4UdRogZ6akCjBjSKS_VHT8nedrHL70wNbm_a4ernd9s59E9-eQgqWg-NBecD2KRc6_9f8Avj5X4n</recordid><startdate>196910</startdate><enddate>196910</enddate><creator>Tassi, Albert A.</creator><creator>Davies, Allen L.</creator><general>Elsevier Inc</general><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>7X8</scope></search><sort><creationdate>196910</creationdate><title>Pericardial tamponade due to penetrating fragment wounds of the heart</title><author>Tassi, Albert A. ; Davies, Allen L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-ce86bb500b020babce3fab0849070ecde8f70001998616cb3f4958427b6a3d353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1969</creationdate><topic>Cardiac Tamponade - complications</topic><topic>Cardiac Tamponade - diagnosis</topic><topic>Cardiac Tamponade - etiology</topic><topic>Cardiac Tamponade - surgery</topic><topic>Heart Injuries - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Military Medicine</topic><topic>Pericardium - diagnostic imaging</topic><topic>Radiography</topic><topic>United States</topic><topic>Vietnam</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tassi, Albert A.</creatorcontrib><creatorcontrib>Davies, Allen L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tassi, Albert A.</au><au>Davies, Allen L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pericardial tamponade due to penetrating fragment wounds of the heart</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1969-10</date><risdate>1969</risdate><volume>118</volume><issue>4</issue><spage>535</spage><epage>538</epage><pages>535-538</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Ten cases of pericardial tamponade due to penetrating fragment wounds of the heart seen at a surgical hospital in Vietnam are presented. Two of the three deaths in this series were due to associated injuries.
The diagnosis of pericardial tamponade must be suspected in any penetrating wound of the thorax or upper part of the abdomen, especially if the response to adequate blood and fluid replacement is suboptimal. The classical signs of pericardial tamponade, such as elevated central venous pressure, poor peripheral perfusion, and distant heart sounds, may be altered or nonspecific in the hypovolemic patient.
Some cases of pericardial tamponade can be handled conservatively with initial pericardiocentesis. However, the advantages of early surgical decompression once the diagnosis is established seem so great that conservative treatment is rarely indicated.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>5821686</pmid><doi>10.1016/0002-9610(69)90177-9</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of surgery, 1969-10, Vol.118 (4), p.535-538 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Cardiac Tamponade - complications Cardiac Tamponade - diagnosis Cardiac Tamponade - etiology Cardiac Tamponade - surgery Heart Injuries - complications Humans Male Military Medicine Pericardium - diagnostic imaging Radiography United States Vietnam |
| title | Pericardial tamponade due to penetrating fragment wounds of the heart |
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