A 79-year-old man had an out-of-hospital acute ST-segment-elevation myocardial infarction with cardiac arrest. Cardiopulmonary resuscitation performed by a bystander resulted in traumatic hemopericardium. We discuss the patient's case, highlight the challenges of managing simultaneously life-threatening thrombosis and hemorrhage, and present our conclusions regarding the patient's eventual death.

中文翻译：

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用心包填塞治疗一名患有心肌梗塞和外伤性心包积血的男性的血栓形成和出血

一名 79 岁男性患有院外急性 ST 段抬高型心肌梗死并伴有心脏骤停。由旁观者进行的心肺复苏导致外伤性心包积血。我们讨论了患者的病例，强调了同时处理危及生命的血栓形成和出血的挑战，并提出了我们关于患者最终死亡的结论。