{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T15:59:02Z","timestamp":1773763142269,"version":"3.50.1"},"reference-count":41,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:p>OBJETIVO: Avaliar as formas de tratamento empregadas e os principais aspectos relacionados \u00e0 morbidade e \u00e0 mortalidade dos ferimentos card\u00edacos.. M\u00c9TODOS: Estudo retrospectivo de 102 doentes com les\u00e3o card\u00edaca, atendidos nos dois prontos socorros de Manaus (Pronto Socorro Municipal 28 de Agosto e Hospital Pronto Socorro Dr. Jo\u00e3o L\u00facio P. Machado) no per\u00edodo de janeiro de 1998 a junho de 2006. RESULTADOS: Dos 102 doentes, 95,1% eram homens; a m\u00e9dia de idade foi 27 anos; ferimentos por arma branca representaram 81,4% dos casos, contra 18,6% por arma de fogo; cardiorrafia foi realizada em 98,1% dos casos. As c\u00e2maras card\u00edacas atingidas foram: VD: 43,9% (36,2% isoladamente e 7,7% associada a outras c\u00e2maras); VE: 37,2%; AD: 8,5% e AE: 10,4%, com mortalidades espec\u00edficas de 21%, 23%, 22% e 45%, respectivamente. Les\u00f5es de duas c\u00e2maras associadas alcan\u00e7aram mortalidade de 37,5%, sendo 20% para VD+AD, 100% para VD+VE e zero para VD+AE. O pulm\u00e3o correspondeu a 33,7% de 89 les\u00f5es associadas. Os tempos m\u00e9dios de cirurgia e de interna\u00e7\u00e3o foram de 121 minutos e 8,2 dias, respectivamente. Cerca de 22,5% complicaram representando 41 complica\u00e7\u00f5es. A mortalidade foi 28,4%. Les\u00f5es grau IV e V corresponderam a 55% e 41% dos casos, com mortalidade espec\u00edfica de 26% e 15%, respectivamente. Todos os doentes com les\u00e3o grau VI morreram. CONCLUS\u00c3O: O ferimentos card\u00edacos por arma branca estiveram associados a menor mortalidade, as les\u00f5es card\u00edacas grau IV estiveram associadas \u00e0 maior mortalidade e um menor tempo operat\u00f3rio esteve associado \u00e0 maior gravidade e mortalidade.<\/jats:p>","DOI":"10.1590\/s0100-69912012000400006","type":"journal-article","created":{"date-parts":[[2012,8,29]],"date-time":"2012-08-29T08:58:29Z","timestamp":1346230709000},"page":"272-279","source":"Crossref","is-referenced-by-count":3,"title":["Estudo retrospectivo de ferimentos card\u00edacos ocorridos em Manaus\/AM"],"prefix":"10.1590","volume":"39","author":[{"given":"Cleinaldo de Almeida","family":"Costa","sequence":"first","affiliation":[{"name":"Universidade do Estado do Amazonas, BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Birolini","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio Oliveira de","family":"Ara\u00fajo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Altair Rodrigues","family":"Chaves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Henrique Oliveira","family":"Cabral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto Oliver","family":"Lages","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thiago Litaiff","family":"Padilha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/j.jamcollsurg.2008.12.011","article-title":"Penetrating cardiac injuries: a historic perspective and 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