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رضوض القلب حالة سريرية
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منتجب أحمد صالح( باحث )
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• رغم أن الأذيات القلبية نادرة لكنها تسبب نسبة وفيات عالية. • يصل 20% من المصابين الى المشفى أحياء. • مفتاح النجاح في التدبير هو التشخيص الباكر و الجراحة الاسعافية . • الايكو القلبي يساعد في التشخيص الباكر للأذية • يعتبر اشق المتوسط عبر القص الخيار في المرضى مع درجة من الاستقرار الهيموديناميكي. • الشق الصدري الأمامي الجانبي الأيسر في المرض غير المستقرين ويجرى غالبآ في قسم الطواريء و كجزء من الانعاش.
• Although cardiac injuries are rare but cause high mortality. • Up to 20% of the injured to the hospital alive. • The key to success is early diagnosis and ambulatory surgery. • Echocardiography help early diagnosis of damage • Midline transsternal incision is the choice in patients with a degree of heamodynamic stability. • Anterieur left Thoracic incision is the choice in unstable patients and is often done in the Emergency Department and as part of recovery .
References used
Rozycki, G.S., et al., The role of ultrasound in patients with possible penetrating cardiac wounds: a prospective multicenter study. J Trauma, 1999. 46(4): p. 543-51; discussion 551-2
Thourani, V.H., et al., Penetrating cardiac trauma at an urban trauma center: a 22- year perspective. Am Surg, 1999. 65(9): p. 811-6; discussion 817-8
Velmahos, G.C., et al., Penetrating trauma to the heart: a relatively innocent injury. Surgery, 1994. 115(6): p. 694-7
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