Dodge A, Fischer A P, Sadeghi H
Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne.
Swiss Surg. 1998;4(2):61-2.
Tamponade from free wall rupture of the cardiac chambers following blunt thoracic trauma is relatively frequent. Diagnosis requires a high index of suspicion and is rapidly confirmed by echocardiography. Emergent surgery is always mandatory despite apparent stable vital signs. We report a successful repair of a lacerated right atrium without cardiopulmonary bypass (CPB), saved in extremis after undue in-hospital delay.
钝性胸部创伤后心腔游离壁破裂导致的心包填塞相对常见。诊断需要高度怀疑指数，并通过超声心动图迅速确诊。尽管生命体征看似稳定，但紧急手术总是必要的。我们报告了一例在体外循环（CPB）下行右心房撕裂伤成功修复的病例，该患者在医院内出现不当延误后处于极度危险状态。
