Baxa M D
Department of Emergency Medicine, Andrews Air Force Base, Maryland 20331-5300.
Ann Emerg Med. 1991 Aug;20(8):902-4. doi: 10.1016/s0196-0644(05)81435-0.
A 58-year-old woman involved in a single automobile accident sustained an isolated rupture of the right ventricle without any other obvious form of external trauma. On presentation to an outlying hospital, hypotension was the only apparent clinical finding suggestive of injury. After several hours of delay, the patient was transferred to a tertiary medical center. The diagnosis of cardiac rupture was made by two-dimensional echocardiography. The patient underwent successful surgical repair and was discharged home in good condition eight days after sustaining this potentially fatal injury.
一名58岁女性遭遇单车事故，右心室发生孤立性破裂，无其他明显的外部创伤形式。在被送往一家偏远医院时，低血压是唯一提示受伤的明显临床发现。经过数小时的延误后，患者被转至一家三级医疗中心。通过二维超声心动图确诊为心脏破裂。患者接受了成功的手术修复，并在遭受这一潜在致命伤八天后康复出院。
