تشخيص آسيب هاي قلب و پريكارد با ايجاد دريچه پريكارد

iagnosis of cardiac injuries with institution of subxyphoid pericardial window

Introduction: Because penetrating cardiac injuries are increasing and early diagnosis has better results, we need a reliable diagnostic method . The aim of this study is evaluation of subxyphoid pericardial window in diagnosis and treatment of penetrating cardiac injuries. Material and Methods: This cross sectional descriptive study has done from 1370-1380 in Mashhad Imam Reza hospital. All patients with penetrating chest trauma in Para cardiac area underwent suxyphoid pericardial window. Findings: 106 patients with penetrating Para cardiac trauma undergone subxyphoid pericardial window. 84 cases had stab wound and 22 cases had gunshot or shotgun wound. Results: The results of subxyphoid pericardial window were positive in 28 cases (26/4%). In 11 of these patients there was no sign and symptom. 28 cases had heart injury (20 ventricular injuries, 3 atrial injuries and 5 pericardial injuries). 21 cases had undergone simple repairs . 39 cases needed laparotomy and 28 visceral injuries were diagnosed. There were no mortality and significant morbidity. Conclusion: subxyphoid pericardial window is a safe and reliable method in diagnosis of cardiac injuries especially in medical centers that there arenʹt any diagnostic methods.