Zajarias Alan, Thanigaraj Srihari, Taniuchi Megumi
Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.
J Invasive Cardiol. 2006 Jan;18(1):E71-3.
Automobile airbags have been universally installed to save lives in motor vehicle accidents, but have also been linked with facial and thoracic burns and chest trauma during rapid deployment. Blunt trauma to the chest may result in electrical and mechanical injuries to the heart and great vessels. We report a case of a 19-year-old man who presented with acute myocardial infarction following a blunt chest trauma from an automobile airbag deployment. Although mechanical complications resulting from airbag injury have been reported in the past, this is the first report of an acute thrombotic coronary occlusion triggered by the rapid airbag deployment. The case underscores the importance of systematic clinical evaluation to guide management in patients with confounding clinical presentation.
汽车安全气囊已被普遍安装,用于在机动车事故中拯救生命,但在快速展开时也与面部和胸部烧伤以及胸部创伤有关。胸部钝性创伤可能导致心脏和大血管的电气和机械损伤。我们报告一例19岁男性,在汽车安全气囊展开导致胸部钝性创伤后出现急性心肌梗死。尽管过去曾报道过安全气囊损伤导致的机械并发症,但这是第一例因安全气囊快速展开引发急性血栓性冠状动脉闭塞的报告。该病例强调了系统临床评估对指导具有复杂临床表现患者管理的重要性。