RuDusky Basil M
Northeast Cardiovascular Clinic and Research Institute, Wilkes-Barre, PA 18701, USA.
Angiology. 2007 Oct-Nov;58(5):610-3. doi: 10.1177/0003319707305687.
Myocardial injury caused by blunt chest trauma has been recognized with increased frequency over the past 2 decades. Increased awareness by physicians and the increased use of various clinical and laboratory diagnostic modalities have contributed to this recognition. Injuries range from inconsequential to catastrophic and can affect any or all areas of the heart: pericardium, myocardium, coronary arteries and veins, chordae, papillary muscles, valves, and great vessels. In addition to the medical importance of the diagnosis, substantial forensic implications have been known to arise. It is important to assess and classify properly the extent of the trauma and its prognostication as to the possibility of residual sequelae. A proposed classification is presented that has both medical and legal application. The uses of stages 0 (suspect), I (mild), II (moderate), III (severe), and IV (catastrophic) are illustrated in detail.
在过去20年中，钝性胸部创伤所致的心肌损伤被认识到的频率有所增加。医生意识的提高以及各种临床和实验室诊断方法使用的增加促成了这种认识。损伤程度从无关紧要到灾难性不等，可影响心脏的任何或所有区域：心包、心肌、冠状动脉和静脉、腱索、乳头肌、瓣膜和大血管。除了诊断的医学重要性外，还已知会产生重大的法医问题。正确评估和分类创伤的程度及其关于残留后遗症可能性的预后非常重要。本文提出了一种具有医学和法律应用价值的分类方法。详细说明了0期（疑似）、I期（轻度）、II期（中度）、III期（重度）和IV期（灾难性）的用途。
