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[右冠状动脉分支刺伤后迟发性心包填塞]

[Delayed pericardial tamponade following a stab wound to a branch of the right coronary artery].

作者信息

Aydin Birol, Püschel Klaus, Schulz Friedrich

机构信息

Aus dem Institut für Rechtsmedizin der Universität Hamburg.

出版信息

Arch Kriminol. 2006 Mar-Apr;217(3-4):101-7.

Abstract

A 45-year-old man was attacked with a knife and suffered multiple stab wounds to the chest and abdomen. After surgical treatment and hospitalization for 9 days he was discharged in a stable condition. The following day he was found dead in his apartment. The autopsy revealed a pericardial tamponade caused by acute bleeding from an injured branch of the right coronary artery. This case shows that life-threatening late complications in patients with penetrating cardiac wounds may occur despite an initially uneventful course.

摘要

一名45岁男子遭人持刀袭击,胸部和腹部多处被刺伤。经过手术治疗并住院9天后,他病情稳定出院。次日,他被发现死于自己的公寓内。尸检显示,其死因是右冠状动脉分支受伤急性出血导致心包填塞。该病例表明,尽管心脏穿透伤患者最初病情平稳,但仍可能发生危及生命的晚期并发症。

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