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KMID : 0364019950280111001
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 11 p.1001 ~ p.1006
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Cardiac Rupture Clinical Analysis of 10-Operative Cases-
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Abstract
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From January, 1990 to December, 1994, we have operated 10 patients with cardiac rupture. The patients are divided into two groups according to their clinical manifestation ; five patients in each hemorrhage and tamponade group. The patients in
both
groups could maintain their vital signs with closed thoracostomy and fluid resuscitation The effect of pericardiocentesis was especially dramatic in three patients of tamponade group. The average time from injury to admission was 101 minutes and
that of
the patients who came our hospital via one or two other hospitals was 170 minutes comparing 31 minutes of those who came directly. The average time from admission to operation was 211 minutes. Considering 98 minutes for the diagnosis and
preoperative
management and another 30 minutes for the preparation for operation, operations were delayed by 83 minutes to get permission. We conclude that this delaying time for transport and operation of heart-ruptured patients should be shortened in order
to
manage them more effectively.
(Korean J Thorac Cardiovasc Surg 1995;28:1001-6)
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