Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/59205
Type: Artigo de periódico
Title: PENETRATING HEART WOUNDS
Author: RIZOLI, SB
MANTOVANI, M
BACCARIN, V
VIEIRA, RW
Abstract: In 3 years, 26 patients were operated for penetrating heart wounds at our institution, the majority between 30 to 60 minutes after injury. Twenty-two patients with a possible heart wound were immediately taken to the operating room for thoracotomy. One patient initially underwent laparotomy while 2 were observed before operating-room thoracotomy. One patient underwent emergency-room thoracotomy. Three patients with no vital signs on admission died, 82.6% of the remainder survived. Stab wounds determined the best survival rate: 94%, whereas for gunshot wounds it was only 50%. Our experience at this Brazilian Trauma Center reveals that delay in reaching the hospital selected the patients, that clinical condition on arrival, method of injury (knife or gunshot), emergency room staffed with trauma surgeons and aggressive operating room treatment for penetrating heart wounds results in a remarkable survival rate. Emergency-room thoracotomy should be reserved for patients ''in extremis'' or when there is no operating room available.
Subject: THORACOTOMY
HEART INJURIES
THORACIC INJURIES
Country: Itália
Editor: Edizioni Minerva Medica
Rights: fechado
Date Issue: 1993
Appears in Collections:Unicamp - Artigos e Outros Documentos

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