一例道路交通事故后心脏压塞的病例报告：跳出创伤思维。
A case report of cardiac tamponade after a road accident: think beyond trauma.
作者信息
Civieri Giovanni, Betta Davide, Cernetti Carlo, Gasparetto Nicola
机构信息
Cardiology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Via N. Giustiniani 2, 35128 Padua, Italy.
Division of Cardiology, Neuro-Cardio-Vascular Department, Ca' Foncello Hospital, Piazzale dell' Ospedale 1, 31100 Treviso, Italy.
出版信息
Eur Heart J Case Rep. 2024 Jul 16;8(7):ytae324. doi: 10.1093/ehjcr/ytae324. eCollection 2024 Jul.
BACKGROUND
Cardiac tamponade is a life-threatening compression of the heart caused by the accumulation of fluid in the pericardial sac. Although central venous catheters (CVCs) are essential in modern medicine, they carry a certain risk of complications including cardiac tamponade.
CASE SUMMARY
A 12-year-old female was involved in a road accident reporting multiple severe traumatic injuries, including a left humerus fracture and subdural haemorrhage. After 2 days in the intensive care unit, she suddenly developed hypotension and cardiac tamponade was diagnosed. Analysis of the pericardial fluid showed high glucose levels comparable to the parenteral nutrition that she was receiving. Retraction of the CVC allowed resolution of the effusion.
DISCUSSION
Cardiac tamponade is a rare but serious adverse event after CVC insertion, mostly among younger patients. Awareness of this risk allows physicians to promptly recognize and treat this dangerous complication.
背景
心脏压塞是由于心包腔内积液积聚导致的危及生命的心脏受压情况。尽管中心静脉导管（CVC）在现代医学中至关重要，但它们存在一定的并发症风险，包括心脏压塞。
病例摘要
一名12岁女性遭遇道路交通事故，多处严重创伤，包括左肱骨骨折和硬膜下出血。在重症监护病房治疗2天后，她突然出现低血压，被诊断为心脏压塞。心包液分析显示葡萄糖水平高，与她正在接受的肠外营养相当。撤回中心静脉导管后积液消退。
讨论
心脏压塞是中心静脉导管置入后罕见但严重的不良事件，多见于年轻患者。认识到这种风险可使医生及时识别并治疗这种危险的并发症。
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