钝性胸部创伤致漏斗胸：一例报告
Pectus excavatum in blunt chest trauma: a case report.
作者信息
Liodakis Emmanouil, Liodaki Eirini, Basmajian Hrayr G, Hawi Nael, Petri Maximilian, Krettek Christian, Jagodzinski Michael
机构信息
Trauma Department, Hannover Medical School, Carl-Neuberg-Str 1, Hannover, 30625, Germany.
出版信息
J Med Case Rep. 2013 Jan 15;7:22. doi: 10.1186/1752-1947-7-22.
INTRODUCTION
Blunt cardiac rupture is an exceedingly rare injury.
CASE PRESENTATION
We report a case of blunt cardiac trauma in a 43-year-old Caucasian German mother with pectus excavatum who presented after a car accident in which she had been sitting in the front seat holding her two-year-old boy in her arms. The mother was awake and alert during the initial two hours after the accident but then proceeded to hemodynamically collapse. The child did not sustain any severe injuries. Intraoperatively, a combined one-cm laceration of the left atrium and right ventricle was found.
CONCLUSION
Patients with pectus excavatum have an increased risk for cardiac rupture after blunt chest trauma because of compression between the sternum and spine. Therefore, patients with pectus excavatum and blunt chest trauma should be admitted to a Level I Trauma Center with a high degree of suspicion.
引言
钝性心脏破裂是一种极其罕见的损伤。
病例报告
我们报告一例43岁患有漏斗胸的白种德国母亲钝性心脏创伤病例，她在一场车祸后就诊，车祸时她坐在前排抱着两岁的男孩。事故发生后的最初两小时，母亲神志清醒，但随后出现血流动力学崩溃。孩子未受重伤。术中发现左心房和右心室有一处1厘米的联合裂伤。
结论
漏斗胸患者在钝性胸部创伤后发生心脏破裂的风险增加，原因是胸骨和脊柱之间的压迫。因此，患有漏斗胸且有钝性胸部创伤的患者应高度怀疑地入住一级创伤中心。
Zotero 插件