钝性胸部创伤后心包破裂和心脏疝

Pericardial rupture and cardiac herniation after blunt chest trauma.

作者信息

Janson Jacques T, Harris David G, Pretorius Johann, Rossouw Gawie J

机构信息

Department of Cardiothoracic Surgery, Tygerberg Hospital, University of Stellenbosch, Tygerberg, South Africa.

出版信息

Ann Thorac Surg. 2003 Feb;75(2):581-2. doi: 10.1016/s0003-4975(02)04298-4.

DOI:10.1016/s0003-4975(02)04298-4

PMID:12607682

Abstract

Pericardial rupture after blunt chest trauma is rare and is associated with a high mortality rate. We describe a patient with traumatic pericardial rupture and cardiac herniation who was successfully treated surgically. Traumatic pericardial rupture is difficult to diagnose preoperatively but should be suspected whenever there is severe blunt chest trauma. If pericardial rupture is not recognized and treated promptly it could be fatal owing to cardiac herniation.

摘要

钝性胸部创伤后心包破裂罕见且死亡率高。我们描述了一名患有创伤性心包破裂和心脏疝的患者，该患者经手术成功治疗。创伤性心包破裂术前难以诊断，但只要有严重钝性胸部创伤就应怀疑。如果心包破裂未被识别并及时治疗，可能因心脏疝而致命。