Læknablaðið - 15.07.1958, Blaðsíða 26

60
LÆKNABLAÐIfi
liríð, ef um „partial ruptur“
er að ræða. Hæmopericardium
gerir batahorfurnar verri. Co-
ronartlirombosis eftir áverka
hefur sömu liorfur sem af öðr-
um orsökum. Arrythmia, ef
mikil er, leiðir oft til hjartabil-
unar og sama er að segja um
ruptura valvulae og aneurysma
cordis. Sjaldgæft er, að hjarta-
mar liafi bacterial endocarditis
i för með sér.
Meðferðin er liin sama og við
coronarthrombosis. Trauma
cordis non penetrans þarfnast
ekki handlæknisaðgerða nema
við hæmopericardium, sem
þrengir mjög að starfsemi
lijartans (lijarta tamponade) og
ruptura myocardii eða þá við
pericarditis með ígerð.sem með-
ferð með antibiotica vinnur
ekki vel á.
SUMMARY.
A brief summary of the literature
concerning nonpenetrating heart
lesions is given and two cases, 58
year and 30 year old males repre-
senting this kind of heart disease
are reported.
The first case, formerly a healthy
man, got signs of heart disease as
soon as he had suffered an outo-
mobile accident and a week later
typical symptoms of coronary
thrombosis. He afterwards was in-
validated of coronary insufficiency
and died nearly a year and a half
later. The post mortem showed a
huge cardial aneurysm of the ante-
rior surface of the left ventricle.
The second case, a healthy man,
incurred a severe car collision and
was thrown out of the front door.
He had signs of cerebral concus-
sion and of heart trouble in direct
connection to the accident. Four
months later he was sent for special
heart examination. Ecg at rest was
normal, but on exertion ecg was
typical of coronary changes. He had
only partly recovered, but could
work as a car driver. About four
and a half year later he suffered
from left sided paresis of the ex-
tremities and a thrombosis in the
right middle cerebral artery was
diagnosed.
HEIMXLDIR.
1) Warburg, Erik: Subacute and
Chronic Pericardial and Myocardial
Lesions due to Non-Penetrating
Traumatic Injuries. Einar Munks-
gaard, Copenhagen, 1938.
2) Urbach, J.: Beitr. zur Gerichtl.
Med., lf, 104, 1922. Frá Warburg.
3) Bricht, E. F. og Beck, C. S.: Am.
Heart J. 10, 293, 1935. Frá Aren-
berg.
4) Leinoff, H. D.: Arch, Int. Med. 70,
33,1942.
5) Arenberg, H.: Ann. Int. Med. 19,
362,1943.
6) Desforges, G. og fél.: New Eng-
land J. Med. 252, 567, 1955. Frá
Friedberg.
7) Gore, I.: Ann. Int. Med. 33, 865,
1950.
8) Kienle, F.: Zeitschr. f. Kreislauf-
forsch., 30, 674, 1938. Frá Fried-
berg.
9) Joachim, H. og Mays, A. T.: Am.
Heart J. 2, 682, 1927. Frá Friedberg.
10) Hildebrandt, F.: Diss., Berlin 1898.
Frá Warburg.
11) Friedberg, C. K.: Dieases of the
Heart, Saunders Co., 1956.
12) Shaffer, C. F. og Chapman, D.W.:
Corrective Cardiology, Saunders
Co„ 1952.
13) Sprague, H. B.: Bull. New York
Acad. Med., 23, 631, 1947. Frá Gore.