Abstract:
:Thoracic trauma frequently involve damage to the cardiac structures and in the worst cases, the progressive degeneration and necrosis of the damaged tissue lead to cardiac rupture. The high mortality resulting from cardiac tamponade requires the prompt execution of diagnostic tests to provide as much useful information as rapidly as possible in order to start immediate therapy. A case of cardiac rupture manifested by the onset of atrial fibrillation in a patient admitted to Intensive Care after a car accident is described. The scarce significance of objective examination, the aspecific nature of chest X-ray and ECG alterations prompted the execution of a more thorough diagnosis. Transthoracic and transesophageal ultrasonography are both minimally invasive and highly specific: in a short time, not only did they confirm cardiac rupture, but they also focalised the site of the lesion, thus allowing a more targeted and rapid surgical approach. The relative frequency of cardiac lesions following closed thoracic trauma, the lack of incontrovertible signs and symptoms of late cardiac rupture, and the extreme severity of its clinical consequences argue in favour of using specific and sensitive diagnostic tests that can not only exclude or ascertain the presence of these lesions, but also allow subsequent serial controls aimed at diagnosing late cardiac ruptures.
journal_name
Minerva Anestesioljournal_title
Minerva anestesiologicaauthors
Siniscalchi A,Barbieri A,De Pietri L,Rossi Rkeywords:
subject
Has Abstractpub_date
2000-06-01 00:00:00pages
473-8issue
6eissn
0375-9393issn
1827-1596journal_volume
66pub_type
杂志文章abstract:BACKGROUND:Devices that limit microaspiration through the cuffs of endotracheal tubes could help prevent ventilator-associated pneumonia (VAP). The amount of tracheal microaspirations could be a relevant study endpoint. The aim of our study was to assess whether amylase measured in tracheal secretions constituted a rel...
journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章
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更新日期:1994-07-01 00:00:00
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更新日期:2014-04-01 00:00:00
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abstract:: ...
journal_title:Minerva anestesiologica
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