Mizuhara A, Yamaguchi A, Ide H, Ino T
Department of Cardiovascular Surgery, Jichi Medical School, Omiya Medical Center.
Kyobu Geka. 1992 Dec;45(13):1191-3.
A 65-year-old man was admitted due to acute anterior myocardial infarction. After admission, he fell into cardiac shock. Echocardiogram showed cardiac tamponade due to cardiac rupture. He was immediately transferred to the operating room. After opening the pericardium, 300 ml of bloody pericardial fluid containing coagula was excluded. Hematoma-like infarcted lesion was found on the surface of the left ventricular apex. Because there was no bleeding point, fibrin glue and oxycellulose was fixed on this lesion for pressure hemostasis without any suture. The postoperative course was uneventful.
一名65岁男性因急性前壁心肌梗死入院。入院后，他陷入心源性休克。超声心动图显示因心脏破裂导致心包填塞。他立即被转至手术室。打开心包后，排除了300毫升含凝血块的血性心包积液。在左心室心尖表面发现血肿样梗死病变。由于没有出血点，在该病变处固定纤维蛋白胶和氧化纤维素进行压迫止血，未进行缝合。术后病程平稳。
