| Autor: |
Fulton JO; Department of Cardiothoracic Surgery, University of Cape Town., de Groot KM, Buckels NJ, von Oppell UO |
| Jazyk: |
angličtina |
| Zdroj: |
South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie [S Afr J Surg] 1997 May; Vol. 35 (2), pp. 82-6. |
| Abstrakt: |
Forty-four consecutive patients with injuries to the intrathoracic great vessels admitted to our department from January 1982 to June 1994 were reviewed retrospectively. Forty-two patients (95%) sustained stabwounds and 2 (5%) patients had gunshot wounds. The most frequent radiological abnormality was mediastinal widening in 26 patients (59%). Eighteen patients (41%) were haemodynamically stable on admission with the remainder being unstable (46%), agonal (11%) or lifeless (2%). Twenty-two patients (50%) underwent angiography with 1 false-negative study. A total of 48 arterial and 16 venous injuries were identified with the innominate artery (N = 17, 39% of patients) and left innominate vein (N = 8, 18% of patients) the most frequently injured structures. Associated injuries to thoracic viscera occurred in 13 patients (30%). Two patients required cardiopulmonary bypass to repair their injuries. Arterial shunts were not used in any case. Overall mortality was 5% (2/44) and complications occurred in 7 patients (16%). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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