Affordable Access

[Heart injury. Description of a traumatologic heart surgery patient sample].

Authors
  • Lass, M
  • Kiefer, H
  • Welz, A
  • Kinzl, L
  • Rübenacker, F
  • Hannekum, A
Type
Published Article
Journal
Der Unfallchirurg
Publication Date
Dec 01, 1993
Volume
96
Issue
12
Pages
618–624
Identifiers
PMID: 8128254
Source
Medline
License
Unknown

Abstract

Thoracic injuries can always involve cardiac structures. If the heart is affected, penetrating or blunt injuries need urgent treatment. An unstable cardiac situation with shock symptoms is life-threatening. The diagnostic method of choice is ultrasound examination. This can show pericardial effusion, enlargement of cardiac chambers, wall motion changes and intracardiac defects. Pathologic ultrasound and ECG findings or abnormal enzyme values arising after blunt traumas need intensive care monitoring. Surgical interventions should be done immediately by the first surgeon involved: time should not be wasted by sending patients to special units, as extracorporal circulation is seldom needed. If it is necessary treatment should be carried out by a cardiac surgeon. Between 1989 and 1990 seven patients with thoracic trauma and heart involvement were operated on at the University of Ulm. The indications applied and results achieved are discussed with reference to the literature.

Report this publication

Statistics

Seen <100 times