Klüppel D, Bödeker K
Unfallchirurgische Klinik, Kliniken im Mühlenkreis, Klinikum Minden, Friedrichstrasse 17, 32427 Minden.
Unfallchirurg. 2002 Apr;105(4):387-91. doi: 10.1007/s00113-001-0365-4.
We present a case of cardiac infarction after blunt chest trauma. The 49-year-old patient suffered from severe angina and the ECG demonstrated a pattern of acute anterior wall myocardial infarction. Acute coronary angiography was performed showing complete occlusion of the left interventricular coronary artery due to dissection. An attempted revascularization by percutaneous transluminal coronary angioplasty failed and the patient was then submitted to bypass surgery. We conclude that possible heart injury should be considered in patients with blunt chest trauma to lead them to adequate therapy.
我们报告一例钝性胸部创伤后发生心脏梗死的病例。该49岁患者患有严重心绞痛，心电图显示急性前壁心肌梗死模式。进行了急性冠状动脉造影，结果显示由于夹层形成左室冠状动脉完全闭塞。经皮腔内冠状动脉成形术尝试进行血管重建失败，随后该患者接受了搭桥手术。我们得出结论，钝性胸部创伤患者应考虑可能存在的心脏损伤，以便使其获得充分治疗。
