UDC: 616.12-001.44-089
BBC: Р457.345.108.1
Volkov V., Volkov S.
Heart Injuries: the problem and perspectives
Keywords: heart injuries, diagnostics, surgical treatment, mortality
The goal of the study was to evaluate short-term outcomes of surgical therapy of heart injuries. The results of surgical intervention in 139 patients with stub heart wounds were reviewed over the period 1972–2015. Of them 128 patients were operated, whereas 11 were not operated. Overall mortality was 32,4%. The causes of death were severe blood loss and shock, acute cardiac tamponade, multiple system organ failure. Improvement of treatment outcomes in patients with heart injuries depends significantly on better coordination of ambulance service which allows to shorten the pre-hospital period.
References
- Vagner E.A. Khirurgiya povrezhdenii grudi [Surgery of thoracic injuries]. Moscow, Meditsina Publ., 1981. 288 s.
- Volkov V.E., Volkov S.V. Raneniya serdtsa [Heart Injuries]. Cheboksary, Chuvash University Publ., 2009, 210 p.
- Vasilyev Zh.Kh., Volkov V.E. Diagnostika i lechenie tamponady serdtsa [Diagnostics and treatment of cardiac tamponade]. Cheboksary, Chuvash University Publ., 1984, 102 p.
- Ermolov A.S., Udovskii E.E. Reanimatsiya i khirurgicheskaya taktika pri raneniyakh serdtsa [Life support and decision making in surgical treatment of heart injuries]. Materialy Vseros. konf. khirurgov [Proc. of Rus. Surgeons Conf.]. Perm, 1985, pp. 70–71.
- Lobachev S.V. Khirurgiya ranenii serdtsa [Surgery of the heart injuries]. Moscow, Medgiz Publ., 1958, 91 p.
- Malinovskii N.N., Volkov V.E., Vasil’ev Zh.Kh. Raneniya serdtsa i ikh lechenie [Injuries to the heart and their treatment]. Cheboksary, Chuvash University Publ., 1984, 41 p.
- Burch J.M., Franciose R.J., Moore E.E. Trauma. In: Brunicardi F.Ch., ed. Schwartz’s manual of surgery. New York, Chicago. San Francisco, 2006, pp. 97–137.
- Demetriades D., Velmahos G.C. Blunt cardiac trauma. In: Cameron J.L., ed. Current surgical therapy. Baltimore, Maryland, 2004, pp. 1023–1024.
About authors
- Volkov Vladimir
- Doctor of Medical Sciences, Professor, Head of Surgical Diseases Department, Chuvash State University, Russia, Cheboksary (volkovserguei@mail.ru; )
- Volkov Sergey
- Doctor of Medical Sciences, Professor of Surgical Diseases Department, Chuvash State University, Russia, Cheboksary (volkovserguei@mail.ru; )
Article link
Volkov V., Volkov S. Heart Injuries: the problem and perspectives [Electronic resource] // Acta medica Eurasica. – 2017. – №1. P. 17-21. – URL: https://acta-medica-eurasica.ru/en/single/2017/1/3/.