Trauma cardíaco penetrante / Penetrating cardiac trauma
Rev. méd. Panamá
; 20(1/2): 38-44, Jan.-May 1995.
Article
en Es
| LILACS
| ID: lil-409943
Biblioteca responsable:
BR1.1
ABSTRACT
The author reviewed the clinical records of 40 patients with the diagnosis of penetrating cardiac trauma operated on in a period of 38 months in order to confirm the prognostic value of trauma indexes Physiologic Index, Revised Trauma Scale and Index of Penetrating Cardiac Trauma. Thirty-eight patients were men and two were women with an average age of 26.8 years. Thirty-one patients suffered knife wounds and nine were wounded by bullets. The 15 unstable patients (systolic Blood Pressure 80 mmHg after infusion of crystalloid solutions) were submitted to thoracotomy. The 25 stable patients underwent the performance of a pericardial (subxiphoid) window for diagnosis, followed by sternotomy if the result was positive. There were 5 deaths all of which occurred in the operating room due to exsanguination. In all these cases Revised Trauma Scale was less than 3 and the Physiologic Index was grade III in four and grade II in one patient. Our results indicate that the Revised Trauma Scale and the Physiologic Index are good prognostic indicators of survival and that patients with Physiologic Index grade I and II have good probabilities for survival if they are operated on promptly
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Índice:
LILACS
Asunto principal:
Heridas Penetrantes
/
Lesiones Cardíacas
Tipo de estudio:
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America central
/
Panama
Idioma:
Es
Revista:
Rev. méd. Panamá
Asunto de la revista:
MEDICINA
Año:
1995
Tipo del documento:
Article