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心脏穿透性创伤患者的并发症。

Complications in Patients with Cardiac Penetrating Trauma.

机构信息

Department of Surgery, School of Medicine, Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.

Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Cardiovasc Hematol Disord Drug Targets. 2021;21(4):212-216. doi: 10.2174/1871529X21666211214155349.

DOI:10.2174/1871529X21666211214155349
PMID:34906065
Abstract

BACKGROUND

Cardiac penetrating trauma is a medical emergency that mostly affects young people. Based on the type of injury and associated complications, it can present as a surgical challenge and can lead to mortality.

OBJECTIVE

The aim of this study is to evaluate the complications of penetrating heart trauma among patients referred to Shahid Madani Hospital.

METHODS

In this retrospective descriptive study, the data of penetrating cardiac trauma patients referred to Shahid Madani hospital, Karaj, Tehran, from 2016-2019, were investigated. Information, including age, sex, cause of trauma, traumatized area and complications, was extracted and recorded in a data collection form. The data were evaluated statistically using SPSS v18.

RESULTS

A total of 44 patients were included in the study, where the mean age of the patients was 25 years. 73.3% of these patients were men and 26.7% were women. Knife stab wounds were the most prevalent cause of the trauma, present in 93.3% of patients. 73.3% of the patients had cardiac tamponade and 20% had a pneumothorax. The right ventricle was the most common site of the injury in 46.7% of the patients. A mortality rate of 3.4% was reported in this study.

CONCLUSION

The results of this study showed that the highest penetrating heart rate trauma occurred among young people, and the most common cause of the trauma was a knife stab. The most common area of the injury was the right ventricular, and cardiac tamponade was the most common complication.

摘要

背景

心脏穿透性创伤是一种主要影响年轻人的医疗急症。根据损伤类型和相关并发症,它可能是一个手术挑战,并可能导致死亡。

目的

本研究旨在评估转诊至沙希德·马丹尼医院的穿透性心脏创伤患者的并发症。

方法

在这项回顾性描述性研究中,调查了 2016 年至 2019 年期间转诊至德黑兰卡拉季沙希德·马丹尼医院的穿透性心脏创伤患者的数据。提取并记录包括年龄、性别、创伤原因、创伤部位和并发症在内的信息,并将其记录在数据收集表中。使用 SPSS v18 对数据进行统计评估。

结果

共有 44 名患者纳入本研究,患者平均年龄为 25 岁。其中 73.3%为男性,26.7%为女性。刀刺伤是最常见的创伤原因,占 93.3%的患者。73.3%的患者有心包填塞,20%的患者有气胸。46.7%的患者损伤最常见部位为右心室。本研究报告的死亡率为 3.4%。

结论

本研究结果表明,穿透性心脏创伤发生率最高的是年轻人,创伤最常见的原因是刀刺伤。最常见的损伤部位是右心室,最常见的并发症是心包填塞。

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