Nauta Foeke Jacob Harmen, Borstlap Wernard Aat Antoine, Stella Michael, Khalpey Zain
The University of Arizona Medical Center-University Campus, 1501 North Campbell Avenue, Tucson, AZ 85724, USA.
J Cardiothorac Surg. 2012 May 31;7:48. doi: 10.1186/1749-8090-7-48.
Traumatic hemopericardium remains a rare entity; it does however commonly cause cardiac tamponade which remains a major cause of death in traumatic blunt cardiac injury.
We present a case of blunt chest trauma complicated by cardiac tamponade causing cardiac chamber equalization revealed by reflux of contrast.
A 29-year-old unidentified male suffered blunt chest trauma in a motor vehicle collision. Computed tomography (CT) demonstrated a periaortic hematoma and hemopericardium. Significant contrast reflux was seen in the inferior vena cava and hepatic veins suggesting a change in cardiac chamber pressures. After intensive treatment including cardiac massage this patient expired of cardiac arrest.
Reflux of contrast on CT imaging can be an indicator of traumatic cardiac tamponade.
创伤性血心包仍然是一种罕见的病症；然而，它通常会导致心脏压塞，而心脏压塞仍然是钝性心脏损伤导致死亡的主要原因。
我们报告一例钝性胸部创伤并发心脏压塞导致心腔压力平衡的病例，该病例通过造影剂反流得以揭示。
一名身份不明的29岁男性在机动车碰撞事故中遭受钝性胸部创伤。计算机断层扫描（CT）显示主动脉周围血肿和血心包。下腔静脉和肝静脉出现明显的造影剂反流，提示心腔压力发生变化。经过包括心脏按摩在内的强化治疗后，该患者因心脏骤停死亡。
CT成像上的造影剂反流可作为创伤性心脏压塞的一个指标。
