Blunt cardiac rupture with prehospital pulseless electrical activity: A rare successful experience

Li Hua Lu, Wai Mau Choi, Hsueh Ru Wu, Hung Chang Liu, Wen Ta Chiu, Shin Han Tsai

研究成果: 雜誌貢獻文章

10 引文 (Scopus)

摘要

Blunt cardiac rupture is highly associated with mortality. In the recent literature, the reported mortality rates of cardiac rupture ranged from 59.7% to 100%. The probability of survival for those with prehospital pulseless electrical activity was extremely low. This case report describes a rare example of survival of a female patient with life-threatening cardiac rupture and cardiac tamponade after a major car accident. The victim developed pulseless electrical activity at admission. She recovered from the accident, however, without developing any signs of neurologic deficits. This case study emphasizes the value of the primary survey of patients and prompt and accurate interventions, including focused abdominal sonography for trauma, pericardiocentesis, and an urgent thoracotomy in the operating room for primary repair of cardiac rupture without applying a cardiopulmonary bypass system. The study showed that early diagnosis and aggressive interventions are crucial factors to the successful outcome of patient's survival.

原文英語
頁(從 - 到)1489-1491
頁數3
期刊Journal of Trauma - Injury, Infection and Critical Care
59
發行號6
DOIs
出版狀態已發佈 - 十二月 2005

指紋

Heart Rupture
Accidents
Survival
Pericardiocentesis
Cardiac Tamponade
Mortality
Thoracotomy
Operating Rooms
Neurologic Manifestations
Cardiopulmonary Bypass
Early Diagnosis
Ultrasonography
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

引用此文

Blunt cardiac rupture with prehospital pulseless electrical activity : A rare successful experience. / Lu, Li Hua; Choi, Wai Mau; Wu, Hsueh Ru; Liu, Hung Chang; Chiu, Wen Ta; Tsai, Shin Han.

於: Journal of Trauma - Injury, Infection and Critical Care, 卷 59, 編號 6, 12.2005, p. 1489-1491.

研究成果: 雜誌貢獻文章

Lu, Li Hua ; Choi, Wai Mau ; Wu, Hsueh Ru ; Liu, Hung Chang ; Chiu, Wen Ta ; Tsai, Shin Han. / Blunt cardiac rupture with prehospital pulseless electrical activity : A rare successful experience. 於: Journal of Trauma - Injury, Infection and Critical Care. 2005 ; 卷 59, 編號 6. 頁 1489-1491.
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