title: [Results and main principles of surgical treatment of heart wounds].
abstract: In the years 2000-2009 there were 108 patients with wounds to the heart. The main group of the victims consisted of able-bodied men in the state of alcohol intoxication. Vast majority of the patients had stab-incised wounds of the chest, injuries of the left ventricle and isolated pericardium being prevailing. Penetrating wounds of the heart were diagnosed in 68 patients, 9 of them had perforating wounds. The average time of prehospital period was (48.2 +/- 24.2) min. During the recent four years the time from admission to hospital to operation became 18 min shorten at an average. Postoperative lethality of patients with stab-incised wounds of the heart varied from 55.5 to 15.4%. The author has formulated the main principles of treatment of such category of victims.
authors.forename: E B
authors.initials: EB
authors.lastname: Topol'nitskiĭ
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D055815:Young Adult