左侧横膈膜和心包破裂并伴有钝性创伤后心脏脱位。

Left-sided diaphragmatic and pericardial ruptures with subluxation of the heart after blunt trauma.

机构信息

Department of Cardiothoracic Surgery, Turku University Hospital, Turku, Finland.

出版信息

Ann Thorac Surg. 2012 Jan;93(1):317-9. doi: 10.1016/j.athoracsur.2011.05.046.

DOI:10.1016/j.athoracsur.2011.05.046

Abstract

We present a rare case of individual but simultaneous rupture of the left pericardium and diaphragm in a patient with multiple blunt trauma. Skeletal trauma was repaired uneventfully with internal plate fixation. Diaphragmatic rupture was suspected and diagnosed 13 days from the initial trauma when the patient exhibited chest pain, dyspnea, and nausea. Intraoperatively, a pericardial rupture was discovered along with subluxation of the heart and repaired with a mesh.

摘要

我们报告了一例罕见的多发性钝性创伤患者同时发生左侧心包和横膈破裂的病例。骨骼创伤经内固定板固定后顺利修复。在最初创伤后 13 天，患者出现胸痛、呼吸困难和恶心，怀疑并诊断为横膈破裂。术中发现心包破裂，伴有心脏半脱位，并使用网片修复。