Blunt Cardiac Trauma: A Pathophysiological Study

Autor: Robert T. Potter, Gerald F. O'Brien, Charles A. Bertrand, Rudolf Garret, Thomas M. McNeill, J. Maxwell Chamberlain, Paul L. Stefko
Rok vydání: 1965
Předmět:
Zdroj: The Annals of Thoracic Surgery. 1:432-443
ISSN: 0003-4975
DOI: 10.1016/s0003-4975(10)66778-1
Popis: uring 1961 over four million persons were injured or killed in automobile accidents in the United States [3]. T h e insurance D companies estimate that the present number of automobiles in use will almost double by 1973 [4]. It follows that the nation may anticipate a rising toll of casualties. Many of the injured will have sustained steering-wheel or dashboard injuries to the chest and hence possibly to the heart as well. Other sources of blunt cardiac trauma in civilian practice include falls from heights, crush injuries, and athletic injuries such as that of the Little League baseball player who is hit on the chest by a pitched ball. T h e greater pliability of a child’s thoracic cage renders his heart more vulnerable to nonpenetrating injuries. No hospital, and for that matter no physician, is exempt from the treatment of chest trauma; yet the present recognition and treatment of blunt injuries of the heart is often incomplete. This study was undertaken to improve our own understanding of these injuries. T h e importance of myocardial irritability and myocardial damage due to nonpenetrating chest injuries has received little attention. In this communication we report on the irnmediate and long-term effects of experimentally induced blunt cardiac trautna.
Databáze: OpenAIRE