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钝性胸部创伤导致右心房撕裂、心包积血和心脏压塞,经心脏缝合术成功治疗。

Blunt chest trauma causing right atrial tear, hemopericardium and cardiac tamponade successfully treated with cardiorrhaphy.

作者信息

Fang B R, Chang J P, Chang C S

机构信息

Division of Cardiology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

出版信息

Int J Cardiol. 1993 Feb;38(2):193-5. doi: 10.1016/0167-5273(93)90181-f.

DOI:10.1016/0167-5273(93)90181-f
PMID:8454384
Abstract

A 26-year-old female was involved in a car accident with impaction of the steering wheel to the anterior chest. She became unconscious immediately. Blood pressure was unmeasurable, central venous pressure was measured at 25 cm H2O. Cross-sectional echocardiography revealed pericardial effusion and a band-like blood clot in the posterior inferior aspect of the heart. At operation, a right atrial tear measuring 1 cm in length was noted and was repaired with cardiorrhaphy. She recovered uneventfully.

摘要

一名26岁女性遭遇车祸,方向盘撞击其前胸。她当即失去意识。血压测不出,中心静脉压测得为25 cmH₂O。经胸超声心动图显示心包积液以及心脏后下方面有条带状血凝块。手术中,发现右心房有一处1厘米长的撕裂伤,遂行心脏缝合修复。她术后恢复顺利。

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