Rahim Khan Hamza Abdur, Gilani Jaleed Ahmed, Pervez Muhammad Bin, Hashmi Shiraz, Hasan Sulaiman
Medical College, Aga Khan University.
Medical College, Ziauddin University.
J Pak Med Assoc. 2018 Aug;68(8):1285-1287.
Penetrating cardiac trauma is a medical emergency that commonly affects young men throughout the world. A retrospective review of the records of all patients presenting with cardiac injury was done from January 2000 to December 2015 at our institute. There were 10 cases of such trauma, all of whom were males, 17 to 48 years of age. The most common mechanism of injury was gunshot wounds followed by stab wounds. The Mean Revised Trauma Score was 7.23±0.855. Only 2 out of the total 10 patients died (20% mortality). The Right Ventricle followed by the Left Ventricle was the most common site of injury. Median Sternotomy was the surgical procedure of choice in managing these patients. Pericardial tamponade and Haemothorax were common intra-operative findings. Patients having penetrating cardiac injury presenting with detectable signs of life on arrival to the hospital can be rescued by early surgical intervention.
穿透性心脏创伤是一种医疗急症，在全球范围内通常影响年轻男性。2000年1月至2015年12月期间，我们研究所对所有心脏损伤患者的记录进行了回顾性研究。共有10例此类创伤患者，均为男性，年龄在17至48岁之间。最常见的致伤机制是枪伤，其次是刺伤。平均修正创伤评分是7.23±0.855。10例患者中仅有2例死亡（死亡率为20%）。最常见的损伤部位是右心室，其次是左心室。在处理这些患者时，正中胸骨切开术是首选的外科手术方式。心包填塞和血胸是常见的术中发现。对于到达医院时仍有可检测到生命体征的穿透性心脏损伤患者，早期手术干预可挽救其生命。
