Lin Ying-Li, Yu Chao-Hung
Department of Family Medicine, Changhua Christian Hospital, Taiwan.
Intern Med. 2011;50(18):1969-71. doi: 10.2169/internalmedicine.50.5688. Epub 2011 Sep 15.
Acute myocardial infarction is a life-threatening condition. Coronary dissection after blunt chest trauma is a rare event. Chest pain is a common symptom after chest trauma, which may relate to chest contusion without cardiac injury or myocardial infarction. Differentiation between minor cardiac contusion and significant cardiac injury is difficult and it is a challenge for physicians to diagnose traumatic cardiac injury early. We report a case of a 40-year-old man suffering from coronary artery dissection after a blunt chest trauma and intracranial hemorrhage after percutaneous coronary intervention.
急性心肌梗死是一种危及生命的病症。钝性胸部创伤后冠状动脉夹层是一种罕见事件。胸痛是胸部创伤后的常见症状，可能与无心脏损伤或心肌梗死的胸部挫伤有关。轻度心脏挫伤与严重心脏损伤的鉴别困难，早期诊断创伤性心脏损伤对医生来说是一项挑战。我们报告一例40岁男性患者，其在钝性胸部创伤后发生冠状动脉夹层，并在经皮冠状动脉介入治疗后发生颅内出血。
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