Maillier B, Chapoutot L, Metz D, Reksa A, Bailly L, Jeanpierre M, Sal R, Elaerts J
Service de Cardiologie, Hôpital R. Debré, CHU de Reims.
Ann Cardiol Angeiol (Paris). 1993 May;42(5):253-5.
The authors report a case of closed trauma of the thorax, complicated after a symptom-free period by acute pericarditis, combined with pleural effusion. The clinical outcome was favorable and the pericardial effusion, which was considerable at the first ultrasound scan, spontaneously recovered fully. The incidence of this delayed complication of closed trauma of the thorax is unknown. Its mechanism, related to that of the Dresler syndrome and post-pericardiotomy syndrome differs from that of initial hemopericardium which is of mechanical origin. This case highlights the capital importance of ultrasound in the diagnosis and assessment of cardiac complications of thoracic trauma.
作者报告了一例胸部闭合性创伤病例，在无症状期后并发急性心包炎，并伴有胸腔积液。临床结果良好，首次超声扫描时大量的心包积液完全自发恢复。胸部闭合性创伤这种延迟并发症的发生率尚不清楚。其机制与德雷斯勒综合征和心包切开术后综合征相关，但不同于机械性起源的初始心包积血。该病例突出了超声在诊断和评估胸部创伤心脏并发症方面的重要性。
