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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Format: | Article |
Language: | Spanish |
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Universidad de Ciencias Médicas de Las Tunas
2022-05-01
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Series: | Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta |
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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. |
first_indexed | 2024-12-12T13:59:05Z |
format | Article |
id | doaj.art-d30bb84a7bd0459dba5795ab27977ab3 |
institution | Directory Open Access Journal |
issn | 1029-3027 |
language | Spanish |
last_indexed | 2024-12-12T13:59:05Z |
publishDate | 2022-05-01 |
publisher | Universidad de Ciencias Médicas de Las Tunas |
record_format | Article |
series | Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta |
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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