[A case of traumatic cardiac contusion accompanied by the rupture of pericardium].

K Imasaka, J Yoshida, T Iwai, M Sakamoto, M Yoshitoshi, M Akao
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Abstract

We experienced a case of traumatic cardiac contusion accompanied by the rupture of the pericardium after multiple blunt trauma sustained in a traffic accident. A 26-year-old woman who had suffered from blunt chest and abdominal trauma was admitted to our hospital, being unconscious with multiple severe injuries including pelvic fracture, bilateral hemothorax, and multiple fractures in the extremities. The patient was in a shock status. We performed the transcatheter arterial embolization of the internal iliac arteries to control the bleeding, when aortography showed that the contrast media extravasated toward the left thoracic cavity. Immediately, an operation for blunt chest trauma was performed. Blood was flooding out of the ruptured pericardium because of the contusion of myocardium. The postoperative course was uneventful. Blunt chest trauma is usually accompanied by multisystem injury. Therefore, it is imperative to determine the priority of treatment based on preoperative examination in patients having multiple injuries.

外伤性心挫伤伴心包破裂1例。
我们经历了一例外伤性心脏挫伤并心包破裂后多发钝性创伤持续的交通事故。一名26岁女性因胸部和腹部钝性创伤入院,昏迷,多处严重损伤,包括骨盆骨折,双侧血胸,四肢多处骨折。病人处于休克状态。当主动脉造影显示造影剂向左胸腔外渗时,我们对髂内动脉进行了经导管动脉栓塞以控制出血。立即进行了钝性胸部创伤手术。由于心肌的挫伤,血液从破裂的心包中涌出。术后过程平淡无奇。钝性胸外伤通常伴有多系统损伤。因此,对于多发伤患者,在术前检查的基础上确定治疗的优先顺序是非常必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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