Indikatorische Probleme beim Hämatothorax aus herz- und gefäßchirurgischer Sicht

  • P. G. Kirchhoff
Part of the Langenbecks Archiv für Chirurgie book series (LAC)

Zusammenfassung

Blutungen an zentraler Stelle des kardiovasculären Systems bergen immer die Gefahr katastrophaler Folgen. Die topographischen Beziehungen bahnen der Blutung den Weg in die Brusthöhle, ins Mediastinum und in den Herzbeutel. Die Frage Thorakotomie oder Punktion ist heute zugunsten der Thorakotomie beim Hämoperikard entschieden, da die kardiale Kompression zu einer Beeinträchtigung der diastolischen Füllung des Herzens und zu einer mangelhaften Auswurfleistung führt.

Schlüsselwörter:

Hämatothorax Perikardtamponade 

Problems of Hemothorax from the Viewpoint of Cardiac and Vascular Surgery

Summary

Bleeding from the central cardiovascular system involves the risk of fatal consequences. The anatomical relationship shows the passage of bleeding into the thorax, into the mediastinum and into the pericardial sac. In the case of hemopericardium, thoracotomy is preferable to pericardial puncture because compression of the heart impairs diastolic filling and cardiac output.

Key words:

Hemothorax Hemopericardium 

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Literatur

  1. Beall, A. C, Jr., Crawford, H. W., DeBakey, M. E.: Considerations in the management of acute traumatic hemothorax. J. thorac. cardiovasc. Surg. 52, 351 (1966)PubMedGoogle Scholar
  2. Boyd, T. F., Strieder, J. W.: Immediate surgery for traumatic heart disease. J. thorac. cardiovasc. Surg. 50, 305 (1965)PubMedGoogle Scholar
  3. Cooper, F. W., Jr., Stead, E. A., Jr., Warren, J. V.: The beneficial effect of intravenous infusion in acute pericardial tamponade. Amer. Surg. 120, 822 (1944)Google Scholar
  4. DeCristofaro, D., Chi Kong Liu: The haemodynamics of cardiac tamponade and blood volume overload in dogs. Cardiovasc. Res. 3, 292 (1969)CrossRefGoogle Scholar
  5. Frater, E. W. M.: Intrapericardial pressure and pericardial tamponade in cardiac surgery. Ann. thorac. Surg. 10, 563 (1970)PubMedCrossRefGoogle Scholar
  6. Gielchinsky, I., McNamara, J. J.: Cardiac wounds at a military evacuation hospital in Vietnam. J. thorac. cardiovasc. Surg. 60, 603 (1970)PubMedGoogle Scholar
  7. Hewitt, L., Smith, A.D., Weichert, R. F., Drampas, T.: Penetrating cardiac injuries. Arch. Surg. 101, 683 (1970)PubMedCrossRefGoogle Scholar
  8. Lyman, A., Brewer, III M. D.: Wounds of the chest in war and peace. Ann. thorac. Surg. 7, 387 (1969)CrossRefGoogle Scholar
  9. Parmley, L. F., Mattingly, T. W., Manion, W. C, Jahnke, E. J.: Nonpenetrating traumatic injury of the aorta. Circulation 17, 1086 (1958)PubMedCrossRefGoogle Scholar
  10. Shoemaker, W. C, Carey, J. S., Yao, S. T., Mohr, P. A., Amato, J. J., Printen, K. J., Corley, R. D., Monson, D. O., Youssef, S., Shoemaker, N. J.: Hemodynamic alteration in acute cardiac tamponade after penetrating injuries of the heart. Surgery 67, 754 (1970)PubMedGoogle Scholar
  11. Simpkin, P. A., Hedley Brown, A., Ersoz, M. V. Braimbridge: Chronic left heart tamponade. J. thorac. cardiovasc. Surg. 65, 531 (1973)PubMedGoogle Scholar
  12. Thomas, T. V.: Emergency evacuation of acute pericardial tamponade. Ann. thorac. Surg. 10, 566 (1970)PubMedCrossRefGoogle Scholar
  13. Webb, E.: Discussion, thoracic injuries in combat causalities in Vietnam. Ann. thorac. Surg. 10, 389 (1970)CrossRefGoogle Scholar
  14. Yacoub, M. H., Cleland, W. P., Deal, C. W.: Left atrial tamponade. Thorax 21, 305 (1966)PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1974

Authors and Affiliations

  • P. G. Kirchhoff
    • 1
  1. 1.Klinik für Thorax- und Herz-GefäßchirurgieUniv.-KlinikenGöttingenBundesrepublik Deutschland

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