Alvarez L, Blondiau J V, Scherpings P, Musch W, Creplet J, Malarme M
Service de Médecine Interne, Centre Hospitalier Joseph Bracops, Bruxelles.
Rev Med Brux. 1996 Jun;17(3):143-6.
An 81-year-old woman without any known previous disease was admitted for epigastralgia, nausea, vomiting and anorexia since 15 days. The investigations disclosed a pneumopericardium which was caused by the perforation of a gastric ulcer, situated on the collar of an hiatal hernia. A pericardial drainage and a suture of the ulcer were performed, but the patient could not be saved. Despite an optimal treatment composed of pericardial drainage, specific surgery and intensive care, the mortality rate of pneumopericardium is still around 50% proving the severity of this illness.
一名81岁既往无任何已知疾病的女性因上腹部疼痛、恶心、呕吐和厌食15天入院。检查发现存在心包积气，由位于食管裂孔疝颈部的胃溃疡穿孔所致。进行了心包引流和溃疡缝合，但患者未能挽救过来。尽管采用了包括心包引流、特定手术和重症监护在内的最佳治疗方案，心包积气的死亡率仍约为50%，这证明了该疾病的严重性。
