钝性胸部创伤伴颅内出血后发生急性心肌梗死：一例罕见病例报告
Acute myocardial infarction following blunt chest trauma with intracranial bleed: a rare case report.
作者信息
Patil Rahul R, Mane Dilip, Jariwala Pankaj
机构信息
Department of Cardiology, Noble Hospital, Hadapsar, Pune, India.
出版信息
Indian Heart J. 2013 May-Jun;65(3):311-4. doi: 10.1016/j.ihj.2013.04.018. Epub 2013 Apr 16.
Abstract
A young male following road traffic accident (RTA) with head injury and parietal bleed was diagnosed with STEMI based on ECG findings which is rare occurrence. Coronary angiography showed thrombotic ostial occlusion of LAD. Successful primary angioplasty using thrombo-aspiration was done, in difficult clinical scenario. The case was challenging in terms of use of anticoagulation and antiplatelet strategy in a rare etiology of acute myocardial infarction following road traffic accident.
摘要
一名年轻男性在道路交通事故（RTA）后头部受伤并出现顶叶出血，基于心电图表现被诊断为ST段抬高型心肌梗死（STEMI），这种情况较为罕见。冠状动脉造影显示左前降支（LAD）开口处血栓性闭塞。在困难的临床情况下，采用血栓抽吸术成功进行了直接经皮冠状动脉腔内血管成形术（primary angioplasty）。该病例在道路交通事故后急性心肌梗死这一罕见病因的抗凝和抗血小板策略应用方面具有挑战性。
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