Tanaka H, Suzuki H, Kasai T, Kobayashi K
Trauma and Critical Care Centre, Teikyo University School of Medicine, Tokyo, Japan.
Burns. 1991 Oct;17(5):427-9. doi: 10.1016/s0305-4179(05)80082-8.
A 63-year-old male was burned when in a state of alcoholic intoxication, he fell head first into a bathtub filled with hot water and received burns covering 40 per cent BSA. Despite surgical wound debridement, a severe sepsis continued and a sudden cardiac arrest occurred. Autopsy revealed a large volume of blood in the pericardial space. The heart was ruptured through a myocardial abscess in the posterior wall of the left ventricle. The principle cause of his death was attributed to acute cardiac tamponade following cardiac rupture through a myocardial abscess.
一名63岁男性在酒精中毒状态下，头部先跌入装满热水的浴缸，导致全身40%体表面积烧伤。尽管进行了手术清创，严重的败血症仍持续存在，并突然发生心脏骤停。尸检发现心包腔内有大量血液。心脏通过左心室后壁的心肌脓肿破裂。其死亡的主要原因是心肌脓肿导致心脏破裂后急性心脏压塞。
