[创伤性心包破裂。一种罕见的诊断]

[Traumatic rupture of the pericardium. A rare diagnosis].

作者信息

Pondaven E, Hanouz J L, Gérard J L, Bricard H

机构信息

Département d'anesthésie-réanimation chirurgicale et de médecine d'urgence, centre hospitalier universitaire Côte-de-Nacre, Caen, France.

出版信息

Ann Fr Anesth Reanim. 1998;17(10):1243-6. doi: 10.1016/s0750-7658(99)80032-x.

DOI:10.1016/s0750-7658(99)80032-x

PMID:9881194

Abstract

Rupture of the pericardium is a rare complication of blunt chest trauma. The diagnosis is difficult and if it remains unrecognized, severe complications such as heart herniation may occur. We report the case of a 19-year-old patient with a traumatic rupture of the pericardium. The diagnosis was suggested by a pneumopericardium seen on the chest radiograph and CT-scan. Emergency thoracotomy enabled localisation of the tear, assessment of its size, and reparation of the tear to prevent heart herniation.

摘要

心包破裂是钝性胸部创伤的一种罕见并发症。诊断困难，如果未被识别，可能会发生诸如心脏疝等严重并发症。我们报告一例19岁心包创伤性破裂患者的病例。胸部X线片和CT扫描显示的心包积气提示了诊断。急诊开胸手术能够确定撕裂部位、评估其大小，并修复撕裂处以防止心脏疝形成。