钝性胸部创伤后并发心肌挫伤的短暂三分支阻滞：一例报告

Transient trifascicular block complicating myocardial contusion after blunt chest trauma: a case report.

作者信息

Bortnik Miriam, Occhetta Eraldo, Ruggeri Chiara, Marino Paolo

机构信息

Cardiology Division, Azienda Ospedaliera Maggiore della Carità, Novara, Italy.

出版信息

J Cardiovasc Med (Hagerstown). 2008 Sep;9(9):937-40. doi: 10.2459/JCM.0b013e328300c37d.

DOI:10.2459/JCM.0b013e328300c37d

PMID:18695435

Abstract

Cardiac contusion may be frequently found in patients with blunt chest trauma, and it presents clinically as a spectrum of injuries of varying severity, including transient disorders of impulse formation and propagation. A rare observation of transient trifascicular block in a previously fit 32-year-old man involved in a car accident is reported. The importance of ECG monitoring and biochemical assessment of markers to unmask myocardial contusion is discussed.

摘要

心脏挫伤在钝性胸部创伤患者中可能经常被发现，其临床表现为一系列严重程度不同的损伤，包括冲动形成和传导的短暂紊乱。本文报告了一例罕见的病例，一名32岁身体健康的男子在车祸后出现短暂性三分支阻滞。文中讨论了心电图监测和生物标志物生化评估对于揭示心肌挫伤的重要性。