1971
DOI: 10.1016/0002-9610(71)90144-9
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Treatment of thoracoabdominal gunshot wounds in civilian practice

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1976
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Cited by 25 publications
(13 citation statements)
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“…Most of these cardiac injuries involved multiple chambers, a situation that remains difficult to treat successfully, particularly in gunshot victims. The incidence of thoracoabdominal injuries is 10% to 30%, and the mortality associated with penetrating thoracoabdominal injuries in civilians has been reported by others to be as high as 18% [12,13]. It is noteworthy that there were 29.5% associated abdominal injuries in this study.…”
Section: Discussionmentioning
confidence: 58%
“…Most of these cardiac injuries involved multiple chambers, a situation that remains difficult to treat successfully, particularly in gunshot victims. The incidence of thoracoabdominal injuries is 10% to 30%, and the mortality associated with penetrating thoracoabdominal injuries in civilians has been reported by others to be as high as 18% [12,13]. It is noteworthy that there were 29.5% associated abdominal injuries in this study.…”
Section: Discussionmentioning
confidence: 58%
“…5 They reported the mortality as 20%. Liver injuries were reported in 61% of victims; 22 patients were treated by thoracic drainage and abdominal exploration, 10 needed thoracotomy and abdominal exploration, only 1 required thoracotomy alone, and 8 underwent just laparotomy.…”
Section: Discussionmentioning
confidence: 98%
“…1,2,5,15,16,17 O fígado, ocupando área correspondente ao hemidiafragma direito e parte do esquerdo, foi a víscera abdominal mais atingida, com 63 (57,3%) pacientes, seguido pelo baço com 34 (30,9%), estômago 32 (29,1%), rim 19 (17,3%) e cólon com 16 (14,5%) casos.…”
Section: Discussionunclassified
“…As lesões de vísceras ocas que, freqüentemente, acompanham estes ferimentos, podem ocasionar contaminação da cavidade peritonial com possibilidade de estender-se ao espaço pleural. 1,2,3 Assim, nestes pacientes, não é rara a ocorrência de deiscência da sutura dos órgãos intra-abdominais atingidos, que leva ao aparecimento de fístulas digestivas, com graves repercussões hidreletrolíticas e nutricionais, responsáveis por elevadas taxas de morbidade e mortalidade. 4,5 As controvérsias quanto ao tratamento são compreensíveis, dadas as dificuldades, já referidas, relativas ao diagnóstico correto.…”
Section: Introductionunclassified