Thomas Elizabeth, Golden Pamela, Moran Vicki
Department of Cardiology (Ms Thomas), Department of Trauma (Ms Golden and Dr Moran) SSM Health Saint Louis University Hospital, St. Louis, Missouri.
J Trauma Nurs. 2017 May/Jun;24(3):174-181. doi: 10.1097/JTN.0000000000000287.
Acute pericarditis is the most common form of pericardial disease worldwide and it has many potential etiologies. This case study examines a patient admitted for multiple gunshot wounds who developed acute pericarditis postpericardial drain removal. The initial penetrating abdominal trauma, along with facial injuries and a suspected myocardial infarction, led to confusion in which the initial etiology of pericarditis was missed, creating a delay in overall patient care and extended length of stay.
急性心包炎是全球范围内最常见的心包疾病形式,其病因众多。本病例研究考察了一名因多处枪伤入院的患者,该患者在心包引流管拔除后发生了急性心包炎。最初的腹部穿透伤,连同面部损伤和疑似心肌梗死,导致诊断混乱,从而漏诊了心包炎的初始病因,造成了患者整体治疗的延误和住院时间延长。