SPECIFIC FEATURES OF MANAGEMENT TACTICS IN SEVERE CONCOMITANT INCISION WOUNDS OF THE HEART
https://doi.org/10.21292/2078-5658-2017-14-6-79-83
Abstract
Heart wounds are fairly rare, out of all chest penetrating wounds they make 5-7%. The main causes of lethal outcomes in cardiac incision wounds are massive blood loss, a combination of acute massive blood loss and cardiac tamponade, and isolated cardiac tamponade. The juries of coronary arteries and intracardiac structures also provide an impact on the mortality level. The clinical observation described in the article demonstrates the opportunity to provide a favorable outcome of the trauma disease in the patients with severe concomitant incision wounds of head, neck, chest, abdomen, and acute massive blood loss when providing adequate intensive care and surgical treatment.
About the Authors
I. M. Samokhvalov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor, Head of Field Military Surgery Department
Russian Federation
Doctor of Medical Sciences, Professor, Head of Field Military Surgery Department
S. A. Smirnov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Anesthesiologist and Emergency Physician
Russian Federation
Anesthesiologist and Emergency Physician
S. V. Nedomolkin
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Head of Department
Russian Federation
Candidate of Medical Sciences, Head of Department
S. V. Gavrilin
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor
Russian Federation
Doctor of Medical Sciences, Professor
D. P. Meshakov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Anesthesiologist and Emergency Physician
Russian Federation
Doctor of Medical Sciences, Anesthesiologist and Emergency Physician
G. E. Ivanovskiy
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Anesthesiologist and Emergency Physician of Military Surgery Clinic
Russian Federation
Anesthesiologist and Emergency Physician of Military Surgery Clinic
V. V. Suvorov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Associate Professor
Russian Federation
Candidate of Medical Sciences, Associate Professor
B. N. Bogomolov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor of Anesthesiology and Intensive Care Department
Russian Federation
Doctor of Medical Sciences, Professor of Anesthesiology and Intensive Care Department
V. I. Badalov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Deputy Head of Department
Russian Federation
Doctor of Medical Sciences, Deputy Head of Department
V. Yu. Markevich
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Professor of Department
Russian Federation
Candidate of Medical Sciences, Professor of Department
M. A. Vasilyev
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Surgeon of Military Surgery Clinic
Russian Federation
Surgeon of Military Surgery Clinic
M. V. Kaznacheev
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Senior Registrar of Military Surgery Clinic
Russian Federation
Senior Registrar of Military Surgery Clinic
References
1. Volkov V.E., Volkov S.V. Cardiac injury: state of the problem and perspectives. Acta medica Eurasica, 2017, no. 1, pp. 17-21. (In Russ.)
2. Laletin D.A. Otsenka i korrektsiya sistolicheskoy funktsii pravogo zheludochka v rannem posleoperatsionnom periode koronarnogo shuntirovaniya v usloviyakh iskusstvennogo krovoobrascheniya Diss. kand. med. nauk. [Assessment and management of systolic dysfunction of right ventricle during coronary artery bypass graft with cardio-pulmonary bypass. Avtoref. Diss. Cand. Diss.]. 14.01.20. St. Petersburg, 2017, 23 p.
3. Topolnitskiy E.B. Outcomes and main principles of surgical treatment of cardiac injuries. Vestnik Khirurgii im. I. I. Grekova, 2010, no. 2, pp. 85-89. (In Russ.)
4. Combat anesthesia: the first 24 hours. Senior edit. Buckenmaier Ch., Mahoney P. Sam Houston, The Surgeon General Borden Institute, 2015. 240 p.
Review
For citations:
Samokhvalov I.M., Smirnov S.A., Nedomolkin S.V., Gavrilin S.V., Meshakov D.P., Ivanovskiy G.E., Suvorov V.V., Bogomolov B.N., Badalov V.I., Markevich V.Yu., Vasilyev M.A., Kaznacheev M.V. SPECIFIC FEATURES OF MANAGEMENT TACTICS IN SEVERE CONCOMITANT INCISION WOUNDS OF THE HEART. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(6):79-83. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-6-79-83
Email this article 