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钝性胸部创伤后危及生命的迟发性心包填塞

Life-Threatening Delayed Pericardial Tamponade Following Blunt Chest Trauma.

作者信息

Musch Brian, Daley Rachel A, McMandon Alyssa, Biswas Saptarshi

机构信息

Surgery, Grand Strand Medical Center, Myrtle Beach, USA.

Medicine, Edward Via College of Osteopathic Medicine, Spartanburg, USA.

出版信息

Cureus. 2025 Apr 1;17(4):e81578. doi: 10.7759/cureus.81578. eCollection 2025 Apr.

Abstract

Pericardial tamponade, although rare, is a life-threatening complication of trauma. Typically occurring acutely after penetrating injuries, it can also present in a delayed fashion following blunt trauma, posing diagnostic and therapeutic challenges. We report a rare case of a 33-year-old male who developed delayed pericardial tamponade two weeks after sustaining severe multisystem injuries in a motor vehicle accident. This case emphasizes the need for close monitoring for an extended period of time as delayed complications do occur in severe polytrauma scenarios.

摘要

心包填塞虽然罕见,但却是创伤的一种危及生命的并发症。它通常在穿透性损伤后急性发生,也可在钝性创伤后延迟出现,带来诊断和治疗上的挑战。我们报告一例罕见病例,一名33岁男性在机动车事故中遭受严重多系统损伤两周后发生延迟性心包填塞。该病例强调在严重多发伤情况下,由于确实会出现延迟性并发症,因此需要长时间密切监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c57/12045655/25ff039ab43c/cureus-0017-00000081578-i01.jpg

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