Bernard F, Richard R, Maurin F, Gandjbakhch I, Ollivier J P
Service de Cardiologie, Hôpital Militaire du Val-de-Grâce, Paris.
Ann Cardiol Angeiol (Paris). 1998 Jan;47(1):7-10.
Constrictive pericarditis is a well defined clinical entity, traditionally secondary to longstanding tuberculosis. Although posttraumatic constrictive pericarditis, due to haemopericardium, is well known during the postoperative period following cardiac surgery, it is underestimated in closed chest trauma. A new case of constrictive pericarditis is reported, due to neglected chest trauma. The discussion emphasizes the need for early diagnosis and surgical treatment, which determine the general prognosis of pericardial constriction. This implies systematic investigation of all cases of chest trauma, even minor, by transthoracic, or preferable, transoesophageal echocardiography, looking for haemopericardium.
缩窄性心包炎是一种明确的临床病症，传统上继发于长期的结核病。虽然因心包积血导致的创伤后缩窄性心包炎在心脏手术后的术后阶段已为人熟知，但在闭合性胸部创伤中却未得到充分重视。本文报告了一例因胸部创伤被忽视而导致缩窄性心包炎的新病例。讨论强调了早期诊断和手术治疗的必要性，这决定了心包缩窄的总体预后。这意味着对所有胸部创伤病例，即使是轻微创伤，都应通过经胸或更优选的经食管超声心动图进行系统检查，以寻找心包积血。
