title: [On the question of heart injuries].
abstract: The work is devoted to an analysis of hospitalized patients to the specialized department of injuries of the chest and abdomen of the Mariinskaja hospital at the period from 1993 through 2010. The diagnosis of injury of the pericardium and heart had 280 patients, during the operative treatment heart injuries were detected in 156 (55.71%) patients. Penetration to the heart chambers was found in 132 (84.61%) of them, with perforating and multiple injuries there were 24 (15.39%) patients. Operations were performed during 20 minutes after admission on 65 (28.9%), and during the following two hours on 160 (71.1%) patients. Expectant management and conservative treatment were used in treatment of 34 patients (12.14%), three patients were admitted in the state of apparent death and died during 15 minutes. The lethality of 41 patients was 26.28%. mainly it was those who were operated at the period from 80 to 100 minutes from the moment of injury. The success of treatment depends on the early hospitalization, correct diagnosis and emergent surgery.
authors.forename: M P
authors.initials: MP
authors.lastname: Korolev
authors.forename: Sh K
authors.initials: ShK
authors.lastname: Urakcheev
authors.forename: N K
authors.initials: NK
authors.lastname: Pastukhova
authors.forename: R S
authors.initials: RS
authors.lastname: Sagatinov
authors.forename: G E
authors.initials: GE
authors.lastname: Starkov
mesh_terms: D000328:Adult; D003955:Diagnostic Tests, Routine / Q000009:adverse effects / Q000592:standards; D004638:Emergency Treatment / Q000401:mortality / Q000592:standards / Q000706:statistics & numerical data*; D005260:Female; D006335:Heart Injuries / Q000453:epidemiology / Q000601:surgery; D017052:Hospital Mortality; D006801:Humans; D015601:Injury Severity Score; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology / Q000601:surgery; D010043:Outcome and Process Assessment, Health Care; D010496:Pericardium / Q000293:injuries / Q000601:surgery; D013997:Time Factors; D014193:Trauma Centers / Q000592:standards / Q000706:statistics & numerical data*; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000601:surgery