Giovanni Civieri, Davide Betta, Carlo Cernetti, N. Gasparetto
{"title":"交通事故后心脏填塞的病例报告:超越创伤","authors":"Giovanni Civieri, Davide Betta, Carlo Cernetti, N. Gasparetto","doi":"10.1093/ehjcr/ytae324","DOIUrl":null,"url":null,"abstract":"\n \n \n Cardiac tamponade is a life-threatening compression of the heart caused by the accumulation of fluid in the pericardial sac. Although central venous catheters (CVCs) are essential in modern medicine, they carry a certain risk of complications including cardiac tamponade.\n \n \n \n A 12 year-old female was involved in a road accident reporting multiple severe traumatic injuries, including a left humerus fracture and subdural hemorrhage. After 2 days in the intensive care unit, she suddenly developed hypotension and cardiac tamponade was diagnosed. Analysis of the pericardial fluid showed high glucose levels comparable to the parenteral nutrition that she was receiving. Retraction of the CVC allowed resolution of the effusion.\n \n \n \n Cardiac tamponade is a rare but serious adverse event after CVCs insertion, mostly among younger patients. Awareness of this risk allows physicians to promptly recognize and treat this dangerous complication.\n","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Case Report Of Cardiac Tamponade After A Road Accident: Think Beyond Trauma\",\"authors\":\"Giovanni Civieri, Davide Betta, Carlo Cernetti, N. Gasparetto\",\"doi\":\"10.1093/ehjcr/ytae324\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n \\n \\n Cardiac tamponade is a life-threatening compression of the heart caused by the accumulation of fluid in the pericardial sac. Although central venous catheters (CVCs) are essential in modern medicine, they carry a certain risk of complications including cardiac tamponade.\\n \\n \\n \\n A 12 year-old female was involved in a road accident reporting multiple severe traumatic injuries, including a left humerus fracture and subdural hemorrhage. After 2 days in the intensive care unit, she suddenly developed hypotension and cardiac tamponade was diagnosed. Analysis of the pericardial fluid showed high glucose levels comparable to the parenteral nutrition that she was receiving. Retraction of the CVC allowed resolution of the effusion.\\n \\n \\n \\n Cardiac tamponade is a rare but serious adverse event after CVCs insertion, mostly among younger patients. Awareness of this risk allows physicians to promptly recognize and treat this dangerous complication.\\n\",\"PeriodicalId\":507701,\"journal\":{\"name\":\"European Heart Journal - Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Heart Journal - Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/ehjcr/ytae324\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Heart Journal - Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/ehjcr/ytae324","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Case Report Of Cardiac Tamponade After A Road Accident: Think Beyond Trauma
Cardiac tamponade is a life-threatening compression of the heart caused by the accumulation of fluid in the pericardial sac. Although central venous catheters (CVCs) are essential in modern medicine, they carry a certain risk of complications including cardiac tamponade.
A 12 year-old female was involved in a road accident reporting multiple severe traumatic injuries, including a left humerus fracture and subdural hemorrhage. After 2 days in the intensive care unit, she suddenly developed hypotension and cardiac tamponade was diagnosed. Analysis of the pericardial fluid showed high glucose levels comparable to the parenteral nutrition that she was receiving. Retraction of the CVC allowed resolution of the effusion.
Cardiac tamponade is a rare but serious adverse event after CVCs insertion, mostly among younger patients. Awareness of this risk allows physicians to promptly recognize and treat this dangerous complication.