A case of combined injury of the heart, lung and diaphragm

The issue of heart injury in combination with other organs has received sufficient attention in the modern literature. It was noted that in some cases, with a superficial wound of the heart or even one pericardium, death occurred from internal bleeding from other organs wounded along the way: lung, esophagus, spleen, stomach, liver, etc. Of the 33 cases of pericardial injuries indicated in the literature and on the basis of the works of Chugaev, Podobedova, Irgerai Chernyak, in 15 cases, death followed from internal bleeding from other organs. That is why a simultaneous superficial injury to the heart, or injury to only one pericardium along the way with other organs can give a very confusing clinical picture, as a result of which it is very difficult to make a correct diagnosis and have sufficient grounds for surgical intervention on the heart.