自发性右心房破裂的诊断与治疗(附2例报告)  

Spontaneous rupture of right cardiac atrium: report of two cases and review of literature

作　　者：郭亮[1] 刘非凡[1] 陈忠庆[1] 程青[1] 曾尟枚[1] 

机构地区：[1]广州军区武汉总医院急诊科,武汉430070

出　　处：《解放军医学杂志》2005年第8期748-749,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：目的探讨罕见的自发性右心房破裂的临床特点和诊治方法,为临床医生提供参考。方法报道自发性右心房破裂病例2例并复习文献。结果自发性右心房破裂的临床表现为:胸闷、胸痛及心脏压塞。本病需与心肌梗死、主动脉夹层、外伤性心脏破裂进行鉴别。超声检查和CT可明确诊断。结论自发性右心房破裂较罕见,应提高认识,早期诊断、及时手术治疗是抢救成功的关键。Objective To study the clinical features of spontaneous rupture of the right cardiac atrium. Methods Two cases of spontaneous rupture of right cardiac atrium were reported, and related literature was reviewed. Results Spontaneous rupture of the right cardiac atrium which was a rare disease, presented symptoms including stifling sensation in the chest, chest pain and symptoms of cardiac tamponade. The diagnosis should be differentiated with by ultrasonic examination and CT from cardiac infarction, cardiac rupture caused by external injury and dissecting aneurysm of aorta. Conclusion Spontaneous rupture of right cardiac atrium is rare disease, and an early diagnosis and prompt operation are necessary.

关 键 词：心脏破裂 破裂 自发性 病例报告 

分 类 号：R654.2[医药卫生—外科学]