Department of Surgery, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan.
Surg Today. 2010 Apr;40(4):369-72. doi: 10.1007/s00595-008-4073-3. Epub 2010 Mar 26.
It is futile to attempt resuscitation in a blunt injury patient with no vital signs upon arriving at the emergency department. Therefore, it is recommended that resuscitation be withheld in any blunt trauma patient without vital signs while emergency medical technicians arrive at the scene of the accident. This report presents a case of a blunt torso trauma patient who lost vital signs at the scene and still received cardiopulmonary resuscitation until recovery of spontaneous circulation at the emergency department. The patient was later diagnosed with commotio cordis, and survived to be discharged without any neurological sequelae. Therefore, aggressive resuscitation should be continued until a diagnosis and differential diagnosis of blunt trauma-related cardiac arrest are made by a thorough examination in the emergency department.
在到达急诊科时，对于没有生命体征的钝性损伤患者，进行复苏尝试是徒劳的。因此，建议在任何没有生命体征的钝性创伤患者中，在急救人员到达事故现场时，停止复苏。本报告介绍了一例钝性胸部创伤患者，该患者在现场失去生命体征，但仍在急诊科接受心肺复苏，直至自主循环恢复。患者后来被诊断为心脏震荡，并存活下来，没有任何神经后遗症出院。因此，应继续积极复苏，直到在急诊科进行彻底检查，对与钝性创伤相关的心脏骤停做出明确诊断和鉴别诊断。
