Features of therapeutic and diagnostic tactics in a patient with suspected heart injury (case report)
Abstract
The possibilities of traditional and modern diagnostic methods in a patient with an open chest injury withsuspected heart injury are shown. During the initial examination, the signs of heart damage were doubtful,and therefore, given the stable condition of the patient, a chest MSCT was performed, where a heart injurywas detected. The patient underwent videothoracoscopy, pericardiotomy, suturing of the wounds of the leftventricle, sanitation and drainage of the left pleural cavity, i.e. the peculiarity of this clinical case is the use ofminimally invasive technologies both at the stage of diagnosis and at the stage of treatment. The complexityof diagnosis and the choice of optimal tactics for the treatment of patients with penetrating heart woundsdetermines the need for timely diagnosis using a whole arsenal of modern imaging methods, as well as thestudy of cardiopecific enzymes.