Polianskiĭ B A, Babintsev L N
Khirurgiia (Mosk). 1991 Jun(6):98-101.
The authors analyse the results of management of injuries to the heart and pericardium in 256 patients. From comparison of two periods during which treatment was applied, 1956-1971 and 1972-1984, they found that the results of surgical treatment were determined by a number of conditions among which organizational measures and active surgical tactics play an important role. For instance, in early thoracotomy the postoperative mortality was 13%, whereas in delayed thoracotomy it was 24.7%. The duration of the operative intervention also affected postoperative mortality. In thoracotomy lasting no longer than 90 minutes, the mortality was 13.9%, in operations lasting more than 150 minutes it reached 38.5%. The mortality was particularly high in cases of repeated thoracotomy (57.1%).
作者分析了256例心脏和心包损伤患者的治疗结果。通过比较1956 - 1971年和1972 - 1984年这两个应用治疗的时期，他们发现手术治疗的结果取决于多种条件，其中组织措施和积极的手术策略起着重要作用。例如，早期开胸手术的术后死亡率为13%，而延迟开胸手术的术后死亡率为24.7%。手术干预的持续时间也影响术后死亡率。在持续时间不超过90分钟的开胸手术中，死亡率为13.9%，在持续时间超过150分钟的手术中，死亡率达到38.5%。重复开胸手术的死亡率尤其高（57.1%）。
