Brown D L, Ivey T D
Department of Surgery, University of Cincinnati, Ohio, USA.
J Trauma. 1996 Sep;41(3):558-60. doi: 10.1097/00005373-199609000-00034.
Massive organized pericardial hematoma secondary to blunt trauma is extremely rare. We report a case of a 69-year-old man referred with refractory ascites who was found to have a 10 x 6 x 8 cm organized pericardial hematoma with hemodynamic characteristics consistent with constrictive pericarditis. The cause was attributed to blunt chest trauma associated with a fall 3 years previously. Excision of the mass and removal of the constricting epicardium relieved his symptomatology. A review of the literature is included.
钝性创伤继发的大量机化性心包血肿极为罕见。我们报告一例69岁男性患者，因难治性腹水前来就诊，发现有一个10×6×8厘米的机化性心包血肿，其血流动力学特征与缩窄性心包炎相符。病因归因于3年前一次跌倒所致的钝性胸部创伤。肿块切除及缩窄的心外膜切除缓解了他的症状。本文还包括文献综述。
