Obretenov E, Karakolev Z, Penkov P, Andreev A
Lékarská fakulta, Stará Zagora, Bulharsko.
Rozhl Chir. 1994 Mar;73(2):75-7.
Cardiac injuries associated with a penetrating thoracic injury are not frequently encountered. The usual course is characterized by massive haemorrhage, cardiac tamponade and an entering wound in the cardiac area. Diagnostic problems arise if these clinical syndromes are absent. In the course of two years at the authors' department two cases of tangential cardiac lesions in the posterior left ventricular wall without penetration into the heart without massive haemorrhage and tamponade were absent as haemorrhage of the pericardial lesion into the pleural space occurred. It is not without interest that the entry wound was far away from the heart and the cardiac lesions were detected during surgical intervention made on account of other symptoms.
与穿透性胸部损伤相关的心脏损伤并不常见。通常的病程表现为大量出血、心脏压塞以及心脏区域的入口伤口。如果没有这些临床综合征，就会出现诊断问题。在作者所在科室的两年时间里，有两例左心室后壁切线状心脏损伤，未穿透心脏，没有大量出血和压塞，因为心包损伤的血液流入了胸腔。值得注意的是，入口伤口远离心脏，心脏损伤是在因其他症状进行手术干预时被发现的。
