ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 27 Issue : 3 Year : 2019
 
Penetrating Cardiac Injuries (An Analysis of 66 Cases) [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 1990; 3(1): 62-65

Penetrating Cardiac Injuries (An Analysis of 66 Cases)

Acar Tokcan, Bülent Kısacıkoglu, Orhan Kemal Salih, Tümer Usul, Selim Tansal, Mustafa K. Oskay
From Department of Thoracic and Cardiovascular Surgery, Çukurova University, Faculty of Medicine, Adana, Türkiye.

During a 10 year period ending in July 1988, 66 patients with cardiac injury were operated at the department of Cardiovascular Surgery at Cukurova University, Faculty of Medicine. Sixtythree patients (95.45%) were male. Their ages ranged between 13 and 59 years. Fifty-four patients (81.81%) had stab wounds and nine (13.63%) gunshot wounds. Three patients (4.54%) had blunt trauma. Thirteen patients (16.69%) were in the terminal stage, 37 patints (56.60%) were in a shock state and 16 patients were hemodynamically stable (24.04%) upon hospitalization. Thirty-two patients (48.48%) had evidence of cardiac tamponade and 18 patients (22.27%) were in hemorrhagic shock at the initial examination. Overall mortality was 16.66 percent(11/66). Four of 54 patients (7.40%) with stab wounds died in comparison to 5 out of 9 patients (55.55%) with gunshot wounds (P<0.05). Mortality for the patients in terminal stage was 30.76 percent (4/13) and 13.51 percent (5/37) for those in shock stage. On the other hand, mortality rate in patients with cardiac tamponade was 9.37 percent (3/32) and 33.93 percent (6/18) for the patients with hemorrhagic shock (P<0.05).

Keywords: Cardiac injuries, hemorrhagic shock, cardiac tamponade


Acar Tokcan, Bülent Kısacıkoglu, Orhan Kemal Salih, Tümer Usul, Selim Tansal, Mustafa K. Oskay. Penetrating Cardiac Injuries (An Analysis of 66 Cases). Med J Islamic World Acad Sci. 1990; 3(1): 62-65

Corresponding Author: Acar Tokcan, Türkiye


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