胸部刺伤后张力性心包积气：两例报告

Tension pneumopericardium following stab wounds to the chest: report of two cases.

作者信息

Knottenbelt J D, Divaris S

机构信息

Trauma Unit, Groote Schuur Hospital, Cape Town, South Africa.

出版信息

Injury. 1989 Jan;20(1):46-8. doi: 10.1016/0020-1383(89)90045-4.

DOI:10.1016/0020-1383(89)90045-4

PMID:2592066

Abstract

Two cases of tension pneumopericardium following stab wounds to the chest are reported. The first presented with delayed onset respiratory distress and a precordial systolic murmur, and was treated by thoracotomy. The second presented with acute cardiac tamponade and was treated by needle aspiration. The clinical and radiological features of tension pneumopericardium and its treatment are reviewed.

摘要

本文报告了两例胸部刺伤后发生张力性心包积气的病例。第一例表现为延迟出现的呼吸窘迫和心前区收缩期杂音，经开胸手术治疗。第二例表现为急性心脏压塞，经针吸治疗。本文对张力性心包积气的临床和影像学特征及其治疗进行了综述。