Closed heart injuries. Diagnosis and treatment at the prehospital stage

Closed heart injuries are one of the urgent problems of emergency surgery. The results of treatment of this category of victims depend on the quality of diagnosis and the provision of emergency care at the prehospital stage of the organization of specialized surgical care in the conditions of inpatient and intensive care. The most informative diagnostic method is ECG.

1. Gumanenko E.K., Samohvalov I.M., Badalov V.I., Borisov M.B., Boyarincev V.V. Voenno-polevaya hirurgiya lokal‘nyh vojn i vooruzhennyh konfliktov. Pod red. Gumanenko E.K., Samohvalova I.M. M.: GEOTAR – Media; 2011. s. 672 [Gumanenko E.K., Samoxvalov I.M., Badalov V.I., Borisov M.B., Boyarincev V.V. Field surgery of local wars and armed conflicts. Gumanenko E.K., Samoxvalov I.M. editor. Moscow: GEOTAR-Media; 2011. p. 672. In Russian].

2. Vagner E. A. Hirurgiya povrezhdenij grudi. – M., 1981. – 287 s.

3. Volkov V. E., Volkov S. V. Raneniya serdca: sostoyanie problemy i perspektivy // Acta medica Eurasica. – 2017. – № 1. – S. 17–21.

4. Bisenkov L. N. Minno-vzryvnye raneniya grudi // V kn.: Hirurgiya minno-vzryvnyh ranenij. – 1993. – S. 94–109.

5. Bisenkov L. N., Tynyankin N. A., Sajd X.A., Raid R. Lechenie pronikayushchih ranenij serdca // Vesti, hirurg. – 1989. – T. 144, № 8. – S. 68–71.

6. Volkov V. E., Volkov S. V. Raneniya serdca: sostoyanie problemy i perspektivy // Acta medica Eurasica. – 2017. – № 1. – S. 17–21.

7. Magomedov A.Z., Kulikov A.Z., Abdulaev M.M. Raneniya serdca mirnogo vremeni // Vesti, hir. 1977. № 1. S. 77–80.

8. Kuz‘min A. Ya. Rannyaya diagnostika, intensivnaya terapiya, opredelenie hirurgicheskoj taktiki u postradavshih s tyazheloj sochetannoj travmoj, soprovozhdayushchejsya ushibom serdca / disser. kandidat medicin. nauk 2009. 19 s.

9. Malinovskij N.N. Zakrytaya travma serdca. Pod red. Malinovskogo N.N. Minsk; 1979. s. 192. [Malinovskii N.N. Closed heart injury. Malinovskii N.N. editor. Minsk; 1979. p. 192.

10. Sochetannaya mekhanicheskaya travma: Rukovodstvo dlya vrachej / pod red. A.N. Tulupova. – SPb, izd.OOO «Stiks», 2012. – 393 s.

11. Neotlozhnaya hirurgiya. Rukovodstvo dlya hirurgov obshchej praktiki / pod red.V.H. Grasiasa, P.M. Rejli, M.G. Makkenni, Dzh.S. Velmekhosa; per. s angl. A.A. Mitrohina; pod red. A.S. Ermolova. – M.: Iz-vo Panfilova, 2010. – 886.

12. Samohvalov I. M., Smirnov S. A., Nedomolkin S. V. i dr. Osobennosti lechebnoj taktiki pri tyazhelom sochetannom koloto-rezanom ranenii s povrezhdeniem serdca // Vestnik anesteziologii i reanimatologii. – 2017. – T. 14, № 6. – S. 79–83.

13. Gumanenko E.K., Gavrilin S.I., Boyarincev V.V., Kuz‘min A.YA. Osobennosti diagnostiki, intensivnoj terapii i hirurgicheskoj taktiki pri ushibah serdca. Vestnik hirurgii. 1998; 157(4): 53–56 [Gumanenko E.K., Gavrilin S.I., Boyarincev V.V., Kuz‘min A.Ya. Features of diagnosis, intensive care and surgical tactics for heart injuries. Vestnik xirurgii (Herald of surgery). 1998; 157(4): 53–56. In Russian].

14. Golikov A.P., Borisenko A.P. Travmy serdca: Rukovodstvo po kardiologii, T. 3. M.: Medicina; 1982. c. 450–466 [Golikov A.P., Borisenko A.P. Heart injuries: Cardiological guide, v. 3. Moscow: Medicine; 1982. r. 450–466. In Russian].

15. Boyarincev V.V., Stazhadze L.L., Pas‘ko V.G., Ardashev V.N., Spiridonova E.A., CHernov M.Yu., Markin G.S., Maksimov D.A. Rannyaya diagnostika povrezhdenij serdca pri zakrytoj travme grudi. Medicina katastrof. 2017; 99(3): 31–37 [Boyarintsev V.V., Stazhadze L.L., Pas‘ko V.G., Ardashev V.N., Spiridonova E.A., Chernov M.Yu., Markin G.S., Maksimov D.A. Early Diagnostics of Heart Damage in Closed Chest Injury Cases. Medicina katastrof (Emergency Medicine). 2017; 99(3): 31–37. In Russian]. doi: 10.33266/2070-1004/

16. Kochergaev O.V. Raspoznavanie ushiba serdca pri sochetannoj travme grudi. Hirurgiya. Zhurnal imeni N.I. Pirogova. 2000; 9: 25–-29 [Kochergaev O.V. Recognition of a heart injury with a combined chest injury. Xirurgiya. ZHurnal imeni N.I. Pirogova. (Surgery. Journal named after N.I. Pirogov). 2000; 9: 25–29. In Russian].

17. Sorokoumova E. A., Mazhara Yu. P. Funkcional‘naya diagnostika ushibov serdca: Posobie dlya vrachej: SPb.: NII skoroj pomoshchi im. I. I. Dzhanelidze; 2000.

18. Glinz W. Thorax-verletzungen. – New York, 1979.

19. Tenzer M. L. The Spectrum of myocardial contusion // J. Trauma. – 1985. – Vol. 25, N 7. – P. 620–627.

20. Topol‘nickij E. B. Rezul‘taty i osnovnye principy hirurgicheskogo lecheniya ranenij serdca // Vestnik hirurgii im. I. I. Grekova. – 2010. – № 2. – S. 85–89.

21. Dragu M, Salem A, Marinescu M. Forensic assessment of blunt thoracic trauma – correlations between pattern of injuries and trauma dynamics. Rom. J. Leg. Med. 2009; 17: 122–126.