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汽车安全气囊展开导致钝性胸部创伤继发急性冠状动脉闭塞和心肌梗死。

Acute coronary occlusion and myocardial infarction secondary to blunt chest trauma from an automobile airbag deployment.

作者信息

Zajarias Alan, Thanigaraj Srihari, Taniuchi Megumi

机构信息

Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.

出版信息

J Invasive Cardiol. 2006 Jan;18(1):E71-3.

PMID:16404791
Abstract

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.

摘要

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。

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引用本文的文献

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Atypical Myocardial Infarction Associated with Airbag Deployment: Insights from Electrocardiographic Changes and Intravascular Imaging.与安全气囊展开相关的非典型心肌梗死:来自心电图变化和血管内成像的见解
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Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma.一名胸部钝性创伤青年男性心肌梗死的延迟诊断。
J Cardiovasc Thorac Res. 2019;11(3):251-253. doi: 10.15171/jcvtr.2019.42. Epub 2019 Jul 21.
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Challenges in the diagnosis of blunt cardiac injuries.
钝性心脏损伤的诊断挑战。
Indian J Surg. 2009 Oct;71(5):245-53. doi: 10.1007/s12262-009-0078-4. Epub 2009 Oct 17.
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Pneumopericardium should be considered with electrocardiogram changes after blunt chest trauma: a case report.钝性胸部创伤后出现心电图改变时应考虑心包积气:一例报告
J Med Case Rep. 2008 Apr 4;2:100. doi: 10.1186/1752-1947-2-100.