闭合性胸部损伤后出现心包积气和张力性心包积气。

Thorax. 1977 Feb;32(1):91-7. doi: 10.1136/thx.32.1.91.

Three recent cases of pneumopericardium after closed-chest injury are described. The mechanism of pericardial inflation suspected in each was pleuropericardial laceration in the presence of an intrathoracic air leak. Deflation of the pericardium was achieved by underwater seal drainage of the right pleural cavity in the first patient, during thoracotomy for repair of tracheobronchial rupture in the second, and by subxiphoid pericardiotomy in the last. Haemodynamic changes after escape of air from the periion pneumopericardium and air tamponade.

本文描述了最近三例闭合性胸部损伤后发生心包积气的病例。每例病例中怀疑心包积气的机制是在存在胸腔内气体泄漏的情况下发生了胸膜心包撕裂。第一例患者通过右胸腔闭式引流使心包减压，第二例患者在开胸修复气管支气管破裂时进行心包减压，最后一例患者通过剑突下心包切开术进行心包减压。心包积气逸出和空气填塞后的血流动力学变化。