[Posttraumatic pericarditis - the treatment and prophylaxis].
Results of treatment of 100 patients with posttraumatic pericarditis after stab (n=79) and blunt (n=21) thoracic trauma. Factors, leading to pericarditis onset, were primary infection, direct heart and pericardium injury (87,3%), inadequate pericardial cavity drainage (13,9%), insufficient medicamental pericarditis prophylaxis postoperatively (8,9%). Late medical recourse after blunt trauma of the thorax had led to pericarditis onset due to clotted hemothorax (23,8%), exudative pleurisy (19%) and pleural empyema (14,3%). Early diagnose and complex conservative treatment of posttraumatic pericarditis allowed recover in 78,5% (n=62) and 81% (n=17) of patients with stab and blunt thoracic trauma, respectively. Pericardial cavity drainage with intrapericardial streptokinase introduction proved to be an effective method of treatment of fibrinopurulent pericarditis.
Abakumov
M M
MM
Danielian
Sh N
ShN
Radchenko
Iu A
IuA
Popova
I E
IE
Sokolova
E P
EP
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods*; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D010496:Pericardium / Q000293:injuries*; D035422:Pleural Cavity / Q000601:surgery*; D011379:Prognosis; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D055815:Young Adult
D000900:Anti-Bacterial Agents