Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre

Background: penetrating cardiac trauma is a serious injury with high mortality and a challenge for emergency surgeons. Objective: to describe the patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital of Puerto Padre, from January...

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Main Authors: Jorge Luis Montes-de-Oca-Mastrapa, Orlando Escobar-Zaldívar, José Manuel Martín-Hidalgo
Format: Article
Language:Spanish
Published: Universidad de Ciencias Médicas de Las Tunas 2022-05-01
Series:Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
Subjects:
Online Access:http://revzoilomarinello.sld.cu/index.php/zmv/article/view/3054
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author Jorge Luis Montes-de-Oca-Mastrapa
Orlando Escobar-Zaldívar
José Manuel Martín-Hidalgo
author_facet Jorge Luis Montes-de-Oca-Mastrapa
Orlando Escobar-Zaldívar
José Manuel Martín-Hidalgo
author_sort Jorge Luis Montes-de-Oca-Mastrapa
collection DOAJ
description Background: penetrating cardiac trauma is a serious injury with high mortality and a challenge for emergency surgeons. Objective: to describe the patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital of Puerto Padre, from January 2010 through April 2019. Methods: a cross-sectional descriptive study was carried out with a population consisting of twelve patients who suffered cardiac or pericardial injuries, with or without associated lesions, who received emergency surgery at the aforementioned hospital and during the period herein stated. The following variables were assessed: sex, age group, hemodynamic status at admission, offending agent or object, anatomical site of the injury, surgical approach route, associated lesions, complications, mortality and postoperative stay. Results: 83,34 % of the patients were men, two thirds were less than 40 years old, with a mean age of 31,4 years. In all of them the offending agent was a sharp object. Chest X-ray and echocardiogram were positive for all. Eight wounds were in the myocardium (grade IV), receiving suturing, and four in the pericardium (grade I), with associated injuries in 33,33 %. The thorax approach route was left anterolateral thoracotomy in all, with one deceased and 8,1 days of average hospital stay. Conclusions: patients with penetrating cardiac trauma operated on at the hospital were described, who had low mortality and an average stay of eight days.
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spelling doaj.art-d30bb84a7bd0459dba5795ab27977ab32022-12-22T00:22:23ZspaUniversidad de Ciencias Médicas de Las TunasRevista Electrónica Dr. Zoilo E. Marinello Vidaurreta1029-30272022-05-01473e3054e30541256Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto PadreJorge Luis Montes-de-Oca-Mastrapa0Orlando Escobar-Zaldívar1José Manuel Martín-Hidalgo2Hospital General Docente “Guillermo Domínguez López”. Puerto Padre. Las Tunas. Universidad de Ciencias Médicas de Las Tunas. Las Tunas.Hospital General Docente “Guillermo Domínguez López”. Puerto Padre. Las Tunas. Universidad de Ciencias Médicas de Las Tunas. Las Tunas.Hospital General Docente “Guillermo Domínguez López”. Puerto Padre. Las Tunas. Universidad de Ciencias Médicas de Las Tunas. Las Tunas.Background: penetrating cardiac trauma is a serious injury with high mortality and a challenge for emergency surgeons. Objective: to describe the patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital of Puerto Padre, from January 2010 through April 2019. Methods: a cross-sectional descriptive study was carried out with a population consisting of twelve patients who suffered cardiac or pericardial injuries, with or without associated lesions, who received emergency surgery at the aforementioned hospital and during the period herein stated. The following variables were assessed: sex, age group, hemodynamic status at admission, offending agent or object, anatomical site of the injury, surgical approach route, associated lesions, complications, mortality and postoperative stay. Results: 83,34 % of the patients were men, two thirds were less than 40 years old, with a mean age of 31,4 years. In all of them the offending agent was a sharp object. Chest X-ray and echocardiogram were positive for all. Eight wounds were in the myocardium (grade IV), receiving suturing, and four in the pericardium (grade I), with associated injuries in 33,33 %. The thorax approach route was left anterolateral thoracotomy in all, with one deceased and 8,1 days of average hospital stay. Conclusions: patients with penetrating cardiac trauma operated on at the hospital were described, who had low mortality and an average stay of eight days.http://revzoilomarinello.sld.cu/index.php/zmv/article/view/3054lesiones cardíacastraumatismos torácicosheridas penetrantes
spellingShingle Jorge Luis Montes-de-Oca-Mastrapa
Orlando Escobar-Zaldívar
José Manuel Martín-Hidalgo
Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre
Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
lesiones cardíacas
traumatismos torácicos
heridas penetrantes
title Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre
title_full Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre
title_fullStr Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre
title_full_unstemmed Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre
title_short Patients with penetrating cardiac trauma operated on at the "Guillermo Domínguez López" General Teaching Hospital, Puerto Padre
title_sort patients with penetrating cardiac trauma operated on at the guillermo dominguez lopez general teaching hospital puerto padre
topic lesiones cardíacas
traumatismos torácicos
heridas penetrantes
url http://revzoilomarinello.sld.cu/index.php/zmv/article/view/3054
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