Vestnik khirurgii imeni I. I. Grekova · 1998
[Wounds of the heart].
Клинический случайРедакционная статьяАннотация на английскомНазвание и аннотация: Оригинал на русском
Обработка статьи · этапы, ошибки и управление
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Shevchenko Iu L
Аннотация
The frequency of wounds of the heart as the cause of lethal outcomes on the battle-field practically has not changed during the recent 50 years and is equal to 80%. At the same time, the danger of such complications as infectious endocarditis has increased. The author's experience with surgical treatment of gunshot wounds of the heart makes 85 cases. Symptoms of intracardiac infection were detected in 74% of the wounded, 52 of them having the septic form. Operations were performed under artificial circulation. They included the extraction of foreign bodies, complex sanitation of the heart chambers and recovery of intracardiac hemodynamics. There were no lethal outcomes in the nearest postoperative period. Success of the treatment depends on terms of delivery of the patient to the hospital, quickness of surgical intervention and adequate intensive therapy.