Bernal-Reyes MP, Hernández-Avendaño ML, Launizar-García ME, Cuenca-Dardón JF

Language: Spanish
References: 11
Page: 146-150
PDF size: 128.19 Kb.

ABSTRACT

In our means the cardiac wounds appear in a 10% as unique injury in the patients with trauma and although most of the victims dies without obtaining the medical resource, the mortality of the patients who enter to the services of urgencies and manage to be taken part is hardly of 5%, in agreement with the statistics of our means of the most important situations and urgent than they appear actually surgical, is the penetrating injury of the heart and in the great vessels. A great percentage of the individuals with serious wounds in the heart passes away before arriving at the hospital. Those that still they arrive with life at the casualty department are «a self-selection» group that has anatomical and physiological factors to their favour. These «lucky» patients will need an immediate and decisive action to survive provided by a surgical- medical equipment suitably enabled. A case is reported and Literature is reviewed.

REFERENCES

1. García LJA. Traumatismo penetrante con cuerpo extraño en el ventrículo izquierdo. Rev Esp Cardiol 1997;50:137-139 ISSN: 1579-2242.

2. Acuña P. Traumatismo cardíaco penetrante. Nueve años de experiencia en Cancún, Academia Mexicana de Cirugía. Cir Ciruj 2003;71:23-30.

3. Reyes LC, Cano FA, Bernal EA, Olarte SF, Gallego LF. Trauma cardíaco. J Trauma 2000;28:914.

4. Espinel GM. Herida penetrante en el corazón y en ambas venas cavas. Rev Cub Cardiolo Cir Cardiovasc 1997;II:47-52.

5. Villagas I, et al. Trauma de tórax. Rev Col Cirugía 2001;15.

6. Molina DE. Lesiones cardíacas en traumatismos mortales por precipitación. Rev de Med Intensiv 2005;870:6.

7. Demetriades D, et al. Late sequelae of penetrating cardiac injuries. Brit J Surg 1990;77:813.

8. Primera Reunión para la elaboración de guías: diagnóstico terapéutico para el manejo del paciente politraumatizado en el área de urgencias, reanimación quirófano y terapia intensiva. Hospital Regional de Traumatología Adultos Xoco, Hospital General Balbuena, Hospital General Dr. Ruben Leñero, Hospital General La Villa, 14 y 15 Junio 2007 (Academia Mexicana de Cirugía, Academia Nacional de Medicina «México» SSG D.F.

9. Echevarría JR, San Roman A. Evaluation and treatment of cardiac injuries. Rev Esp Cardiol 2000;53:727-35.

10. Tyburski JG, et al. Factors affecting prognosis with penetrating wounds of the heart. J Trauma 2000;48:587-90; discussion 590-1.

11. Rhee PM, et al. Penetrating cardiac injuries: a population-based study. J Trauma 1998;45:366-70.