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Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability
المؤلفون المشاركون
al-Lal, Yusef Mohamed
Turégano Fuentes, Fernando
Amunategui Prats, Iñaki
de Tomás Palacios, Jorge
Zarain Obrador, Leire
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-08-16
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Cardiac injuries caused by knives and firearms are slightly increasing in our environment.
We report the case of a 43-year-old male patient with a transmediastinal gunshot wound (TGSW) and a through-and-through cardiac wound who was hemodynamically stable upon his admission.
He had an entrance wound below the left clavicle, with no exit wound, and decreased breath sounds in the right hemithorax.
Chest X-ray showed the bullet in the right hemithorax and large right hemothorax.
The ultrasound revealed pericardial effusion, and a chest tube produced 1500 cc.
of blood, but he remained hemodynamically stable.
Considering these findings, a median sternotomy was carried out, the through-and-through cardiac wounds were suture-repaired, lung laceration was sutured, and a pacemaker was placed in the right ventricle.
The patient had uneventful recovery and was discharged home on the twelfth postoperative day.
The management and prognosis of these patients are determined by the hemodynamic situation upon arrival to the Emergency Department (ED), as well as a prompt surgical repair if needed.
Patients with a TGSW have been divided into three groups according to the SBP: group I, with SBP >100 mmHg; group II, with SBP 60–100 mmHg; and group III, with SBP <60 mmHg.
The diagnostic workup and management should be tailored accordingly, and several series have confirmed high chances of success with conservative management when these patients are hemodynamically stable.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Zarain Obrador, Leire& al-Lal, Yusef Mohamed& de Tomás Palacios, Jorge& Amunategui Prats, Iñaki& Turégano Fuentes, Fernando. 2014. Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-513673
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Zarain Obrador, Leire…[et al.]. Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability. Case Reports in Surgery No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-513673
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Zarain Obrador, Leire& al-Lal, Yusef Mohamed& de Tomás Palacios, Jorge& Amunategui Prats, Iñaki& Turégano Fuentes, Fernando. Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-513673
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-513673
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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