TAPONAMIENTO CARDÍACO POSTRAUMÁTICO. PRESENTACIÓN DE UN PACIENTE

Dr. Luis Monteagudo Lima, Dr. Francisco Javier Vázquez Roque, Dra. Deysi Rivero Valerón

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Resumen

Las lesiones cardíacas ocasionadas por un trauma en el corazón representan una afección frecuente, y son importantes por la gran morbilidad que acarrean. Por su origen, presentación clínica, aplicación de métodos diagnósticos, tratamiento y pronóstico, se consideran dos grupos esencialmente diferentes: los traumatismos cardíacos originados por una contusión torácica y los traumatismos cardíacos secundarios producidos por heridas causadas con objetos penetrantes. La lesión cardíaca puede originar una inestabilidad hemodinámica que puede poner en peligro la vida del paciente, por lo que resulta imprescindible un diagnóstico rápido y preciso para proceder a su resolución. El traumatismo cardíaco, tanto accidental como producto de una agresión, es responsable de una gran cantidad de muertes, principalmente entre la población joven, y representa en algunos países una de las primeras causas de mortalidad1,2.


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