Böstman L A, Salo J A, Böstman O M
I Department of Surgery, University Central Hospital, Helsinki, Finland.
Eur J Surg. 1992 May;158(5):271-5.
To audit all stab wounds of the pericardium and heart treated by a policy of immediate exploration over a period of 17 years, and identify any factors predictive of outcome.
Retrospective study.
Urban referral centre.
85 consecutive patients with stab wounds of pericardium and heart.
Immediate exploration.
Mortality and morbidity.
Eleven patients died (13%), 10 of them on the operating table. No powerful predictor of outcome was identified, but measurable blood pressure on admission (p = 0.04) and a low cardiac trauma index score (p = 0.07) seemed to be associated with survival.
Some unrecordable factors--for example, the skill of the team on duty--may have had a considerable influence on outcome.
审核17年间采用即刻探查策略治疗的所有心包和心脏刺伤病例，并确定任何可预测预后的因素。
回顾性研究。
城市转诊中心。
85例连续的心包和心脏刺伤患者。
即刻探查。
死亡率和发病率。
11例患者死亡（13%），其中10例死于手术台上。未发现强有力的预后预测因素，但入院时可测血压（p = 0.04）和低心脏创伤指数评分（p = 0.07）似乎与生存相关。
一些无法记录的因素——例如，值班团队的技能——可能对预后有相当大的影响。
