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- W2378659678 abstract "Objectives To investigate predictors of physiologic disturbance and anatomical lesions resulting from penetrating cardiac trauma(PCT),which can influence prognosis,and to formulate a special principle for early treatment of PCT so as to improve the prognosis of sufferers. Methods We analyzed clinical records of 133 patients with PCT in 21 hospitals,including Suining Central Hospital and West China Hospital.There were 124 males and 9 females,with an average age of 27.4±9.9 years.The patients were divided into three groups,including a subclinic group(n=35),a clinic group(n=79),and an agonal phase group(n=19).Survival analysis was applied to 20 selected predictors,which included patient features and medical intervention measures.Survival and 72-hour survival rates of the three groups were analyzed and compared by the Kaplan-Meier and log-rank tests.Results The Kaplan-Meier test indicated there was a statistically significant difference in 72-hour survival rates among the three groups(P0.05).The 72-hour survival rate in the subclinic group was the highest,at 88.6%.There was a significant difference in survival among the three groups by log-rank test(χ2=24.570,P=0.000).Statistical differences were also found among the three groups in eight physiologic disturbance predictive factors such as eld age(χ2=65.578,P=0.003),organ injury scaling(OIS,χ2=10.718,P=0.005),revised trauma score(RTS) in emergency room(RTS,χ2=88.637,P=0.000),RTS in operation room(χ2=90.889,P=0.000)et al,and in four predictive risk factors such as pericardial checking via subxiphoid window or wound extension(χ2=7.976,P=0.005),and operating room thoracotomy(χ2=15.832,P=0.000).There was no statistical difference in predictive factors such as gender and pericardial centesis(P0.05).Conclusions The survival rates of PCT patients vary among clinical stages.PCT patients should be treated differently according to the type and severity of their injuries.Surgical treatment of PCT patients in emergency rooms should be adapted to the posttraumatic phase of PCT." @default.
- W2378659678 created "2016-06-24" @default.
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- W2378659678 date "2011-01-01" @default.
- W2378659678 modified "2023-09-23" @default.
- W2378659678 title "Survival Analysis of Victims with Different Stages of with Penetrating Cardiac Trauma" @default.
- W2378659678 hasPublicationYear "2011" @default.
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