Collet e Silva F S, José Neto F, Figueredo A M, Fontes B, Poggetti R S, Birolini D
Emergency Surgery Department, The Hospital Das Clinicas University of São Paulo School of Medicine, Sao Paulo, Brazil.
Int Surg. 2001 Jan-Mar;86(1):72-5.
Blunt rupture of the pericardium is a rare injury. Strangulated cardiac hernia following blunt trauma is one cause of reversible cardiac arrest. Traumatic pericardial tears usually have delayed diagnoses and carry high mortality rates (64%). Clinical signs mimic cardiac tamponade during the primary survey. We report here two cases of blunt trauma. Both patients arrived alive in the emergency room and presented signs of cardiac tamponade caused by pericardial rupture.
钝性心包破裂是一种罕见的损伤。钝性创伤后绞窄性心脏疝是可逆性心脏骤停的原因之一。创伤性心包撕裂通常诊断延迟且死亡率高（64%）。在初次检查时，临床体征类似心脏压塞。我们在此报告两例钝性创伤病例。两名患者均活着抵达急诊室，表现出由心包破裂导致的心脏压塞体征。
