PDF(Pubmed)
Abstract：
In recent times, there has been a concerning rise in the incidence of sudden death among individuals in middle age. Predominantly, cardiovascular diseases emerge as the leading cause behind such untimely fatalities. Myocardial infarction and its subsequent complications stand out as the most frequently encountered scenarios in these tragic events. Despite being a relatively uncommon occurrence, cardiac tamponade represents one of the rare yet fatal complications that can ensue following a myocardial infarction. This condition manifests when the pericardial cavity becomes filled with either blood or blood clots, impeding the heart\'s normal functioning. Typically, patients experiencing cardiac tamponade are often reported to have succumbed to sudden death, with a preceding history of chest pain being a common indicator. The definitive diagnosis of cardiac tamponade usually occurs during post-mortem examinations. We consider the case of a 38-year-old man who was discovered unconscious at his residence and was pronounced dead upon arrival at the hospital. Subsequent autopsy findings unveiled the presence of both blood and blood clots within the pericardial cavity, in conjunction with a rupture in the right ventricle and occlusion of the left coronary artery. Histopathological analysis further confirmed the root cause of this tragic event as an acute myocardial infarction.
摘要：
最近,中年人猝死的发生率令人担忧。主要是,心血管疾病成为这种不合时宜的死亡背后的主要原因。在这些悲剧性事件中，心肌梗塞及其随后的并发症是最常见的情况。尽管这是一个相对罕见的事件，心脏填塞是心肌梗死后可能发生的罕见但致命的并发症之一。这种情况表现在心包腔充满血液或血凝块时，妨碍心脏的正常功能.通常,据报道，患有心脏压塞的患者通常死于猝死，先前的胸痛病史是一个常见的指标。心脏压塞的明确诊断通常发生在尸检期间。我们考虑一名38岁的男子在其住所被发现失去知觉，并在到达医院时被宣布死亡。随后的尸检结果揭示了心包腔内存在血液和血凝块，伴随右心室破裂和左冠状动脉闭塞。组织病理学分析进一步证实了这一悲剧性事件的根本原因是急性心肌梗死。
