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急性电击伤幸存者的超声心动图观察

Echocardiographic observations in survivors of acute electrical injury.

作者信息

Homma S, Gillam L D, Weyman A E

机构信息

Massachusetts General Hospital, Cardiac Ultrasound Laboratory, Boston.

出版信息

Chest. 1990 Jan;97(1):103-5. doi: 10.1378/chest.97.1.103.

DOI:10.1378/chest.97.1.103
PMID:2295226
Abstract

This report describes for the first time (to our knowledge) persistent left ventricular dysfunction in survivors of electrical injury. Two young men who were resuscitated following electrocution by high tension wires underwent echocardiographic examination after injury. Early studies demonstrated wall motion abnormalities with no to only partial recovery on follow-up. In contrast to a previous report of totally reversible left ventricular dysfunction in a similar setting, these cases suggest that the degree of permanent dysfunction following electrical injury is variable.

摘要

据我们所知,本报告首次描述了电损伤幸存者持续存在的左心室功能障碍。两名因高压电线触电而复苏的年轻男性在受伤后接受了超声心动图检查。早期研究显示有室壁运动异常,随访时未见恢复或仅部分恢复。与之前一份关于类似情况下左心室功能障碍完全可逆的报告不同,这些病例表明电损伤后永久性功能障碍的程度是可变的。

相似文献

1
Echocardiographic observations in survivors of acute electrical injury.急性电击伤幸存者的超声心动图观察
Chest. 1990 Jan;97(1):103-5. doi: 10.1378/chest.97.1.103.
2
High-voltage injury resulting in permanent right heart dysfunction.高压电损伤导致永久性右心功能障碍。
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Non-invasive evaluation of electrical cardiac injury.心脏电损伤的无创评估。
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4
[Heart current density as the most important biological parameter of electrocution in the bathtub].[心脏电流密度作为浴缸触电最重要的生物学参数]
Beitr Gerichtl Med. 1990;48:335-8.
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[Heart damage after electric injury].[电击伤后的心脏损伤]
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[Injury by electrical forces: pathophysiology, biophysics and pathogenesis].
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[Lesions of the myocardium caused by electrocution. The coronary type of electrocardiographic images].[电击所致心肌损伤。心电图图像的冠状动脉型]
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Electrical hazards and cardiovascular function.电气危害与心血管功能。
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[The development and disappearance of electrical current in frog heart injuries induced by suction electrodes].[关于吸力电极所致蛙心损伤中电流的产生与消失]
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Alterations in left ventricular function assessed by two-dimensional speckle tracking echocardiography and the clinical utility of cardiac troponin I in survivors of high-voltage electrical injury.二维斑点追踪超声心动图评估左心室功能的改变及心肌肌钙蛋白I在高压电损伤幸存者中的临床应用价值
Crit Care Med. 2009 Apr;37(4):1282-7. doi: 10.1097/CCM.0b013e31819c3a83.

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Functional changes of the myocardium in survivors of high-voltage electrical injury.
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Cardiac injury and electrocution.心脏损伤与触电
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