Cagle William E G, Tucker Jennifer E
Children's National Medical Center, Washington, DC, USA.
Pediatr Emerg Care. 2012 May;28(5):460-2. doi: 10.1097/PEC.0b013e318253589e.
Traumatic cardiac injuries are an uncommon diagnosis in the pediatric population. Of the traumatic cardiac injuries, more than 95% are contusions. Traumatic ventricular aneurysms are exceptionally rare, and most are detected during long-term follow-up. They are usually successfully managed medically but can require emergent surgical intervention. We report the case of a 6-year-old boy who was in a motor vehicle collision. He was found to have profound sinus bradycardia during initial resuscitation with hypotension. An electrocardiogram showed complete heart block. A cardiologist was consulted, and an echocardiogram was performed, which revealed a ventricular septal aneurysm. The case is followed by a review of the literature on traumatic cardiac injuries and ventricular septal aneurysms in the pediatric population.
创伤性心脏损伤在儿科人群中是一种罕见的诊断。在创伤性心脏损伤中，超过95%是挫伤。创伤性心室瘤极为罕见，大多数是在长期随访中发现的。它们通常通过药物治疗成功处理，但可能需要紧急手术干预。我们报告一例6岁男孩机动车碰撞伤的病例。在初始复苏过程中发现他有严重的窦性心动过缓并伴有低血压。心电图显示完全性心脏传导阻滞。咨询了心脏病专家并进行了超声心动图检查，结果显示有室间隔瘤。病例之后是对儿科人群创伤性心脏损伤和室间隔瘤相关文献的综述。
