Rodríguez-González Fayna, Martínez-Quintana Efrén
Intensive Medicine Service, Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain.
J Emerg Trauma Shock. 2010 Oct;3(4):398-400. doi: 10.4103/0974-2700.70772.
Cardiac contusion, usually caused by blunt chest trauma, has been recognized with increased frequency over the past decades. Traffic accidents are the most frequent cause of cardiac contusions resulting from a direct blow to the chest. Other causes of blunt cardiac injury are numerous and include violent fall impacts, interpersonal aggression, explosions, and various types of high-risk sports. Myocardial contusion is difficult to diagnose; clinical presentation varies greatly, ranging from lack of symptoms to cardiogenic shock and arrhythmia. Although death is rare, cardiac contusion can be fatal. We present a case of cardiac contusion due to blunt chest trauma secondary to a fall impact, which manifested as cardiogenic shock.
心脏挫伤通常由钝性胸部创伤引起，在过去几十年中其被识别的频率有所增加。交通事故是胸部直接受击导致心脏挫伤最常见的原因。钝性心脏损伤的其他原因众多，包括暴力坠落撞击、人际攻击、爆炸以及各种高危运动。心肌挫伤难以诊断；临床表现差异很大，从无症状到心源性休克和心律失常。虽然死亡罕见，但心脏挫伤可能是致命的。我们报告一例因坠落撞击继发钝性胸部创伤导致的心脏挫伤病例，其表现为心源性休克。
