Letoquart J P, Fasquel J L, L'Huillier J P, Babatasi G, Gruel Y, Lauvin R, Mambrini A
Service de Chirurgie Générale A, C.H.R. de Rennes, Hôpital Sud.
J Chir (Paris). 1990 Jan;127(1):6-12.
The authors present a case of pneumopericarditis consecutive to a perforating gastric ulcer complicating a left, post-traumatic diaphragmatic hernia, evolving favorably after radical surgery. 52 cases of gastro-pericardial fistulas were reported in the literature, 42 of which related to benign pathology. The overall mortality rate for this disease was 85%, although the course was favorable in one patient out of two, whenever radical surgery had been resorted to. In order to ensure these patients the best chances for survival, treatment should combine pericardial drainage and case-adapted gastro-intestinal surgery in an intensive care setting.
作者报告了一例因创伤后左侧膈疝并发穿孔性胃溃疡导致的气心包炎病例，经根治性手术后病情好转。文献报道了52例胃心包瘘，其中42例与良性病变有关。该疾病的总死亡率为85%，尽管在采取根治性手术的患者中，每两名患者就有一名病情好转。为了确保这些患者有最佳的生存机会，治疗应在重症监护环境中结合心包引流和根据具体情况进行的胃肠手术。
