Takahashi J, Shimizu M, Munemura T
Aishin Memorial Hospital, Sapporo, Japan.
Kyobu Geka. 1994 Aug;47(9):762-4.
Successful repair of blunt traumatic rupture of ventricle due to traffic accident is reported. Patient was a 73-year-old woman who was driving and had seated with seatbelts at the traffic accident. Arriving at our hospital, her blood pressure was under 50 mmHg and she had clouding of consciousness, although no brain injury was recognized. No heart beating was visible in X-ray television and pericardial effusion was recognized in the echocardiogram. The diagnosis of acute cardiac tamponade was established within 7 minutes of arrival. The pericardiectomy was performed immediately, then blood pressure was improved to 70 mmHg. The ruptures of right ventricle were repaired without cardiopulmonary bypass via median sternotomy. Post-operative course was without trouble and patient was discharged within 2 weeks.
报告了因交通事故导致的钝性创伤性心室破裂的成功修复病例。患者为一名73岁女性,在交通事故发生时正在驾车且系着安全带。到达我院时,她的血压低于50 mmHg,意识模糊,尽管未发现脑损伤。X线电视下未见心脏跳动,超声心动图显示心包积液。到达后7分钟内确诊为急性心脏压塞。立即进行心包切除术,随后血压升至70 mmHg。通过正中胸骨切开术在非体外循环下修复右心室破裂。术后过程顺利,患者在2周内出院。