创伤性张力性心包积气：一例报告及文献综述

Traumatic tension pneumopericardium: a case report and literature review.

作者信息

Robinson M D, Markovchick V J

出版信息

J Emerg Med. 1985;2(6):409-13. doi: 10.1016/0736-4679(85)90249-5.

Abstract

A 39-year-old male arrived in the emergency department with multiple stab wounds to the chest. A pneumopericardium was present on initial chest x-ray study. He subsequently developed hypotension, tachycardia, an elevated CVP (36 cm H2O) and a pulsus paradoxus. All parameters improved following removal of 100 cc of air by pericardiocentesis. The etiology, diagnosis, pathophysiology, and treatment of tension pneumopericardium are discussed.

摘要

一名39岁男性因胸部多处刺伤被送至急诊科。初始胸部X线检查显示存在心包积气。随后他出现低血压、心动过速、中心静脉压升高（36 cm H₂O）和奇脉。经心包穿刺抽出100 cc空气后，所有参数均有所改善。本文讨论了张力性心包积气的病因、诊断、病理生理学及治疗。