Ouachaou Jamal, Laaribi Ilyass, Mimouni Hamza, Mellagui Yassine, Bkiyar Houssam, Housni Brahim
Intensive Care Unit, Mohammed VI University Hospital Center, Faculty of Medecine and Pharmacy of Oujda, Mohammed I University, Oujda, Morocco.
Respir Med Case Rep. 2021 Jan 30;32:101354. doi: 10.1016/j.rmcr.2021.101354. eCollection 2021.
Pneumopericardium is a rare complication of a blunt thoracic trauma. It is defined as the presence of air in the pericardial sac. There are just a few cases described in the literature. This article brings pneumopericardium to light, reinforcing the importance of considering it within the blunt chest trauma and remarking its management with a careful monitoring for the patients whose stable or even asymptomatic with spontaneous ventilation because of the risk of tension pneumopericardium and cardiac arrest. Diagnosis is often difficult, and it can be life-threatening by the occurrence of gas tamponade. We report the case of a 48 years old patient victim of a severe traumatism with pneumothorax and pneumopericardium; he was stable with spontaneous ventilation.
心包积气是钝性胸部创伤的一种罕见并发症。它被定义为心包腔内存在空气。文献中仅有少数病例描述。本文揭示了心包积气,强调了在钝性胸部创伤中考虑它的重要性,并指出对于那些因存在张力性心包积气和心脏骤停风险而自主通气稳定甚至无症状的患者,要进行仔细监测来管理。诊断往往困难,气体填塞的发生可能危及生命。我们报告一例48岁严重创伤患者,伴有气胸和心包积气;他自主通气稳定。