机动车碰撞后冠状窦和房室沟撕脱伤

Coronary sinus and atrioventricular groove avulsion after motor vehicle crash.

作者信息

Dennis Bradley M, Dageforde Leigh Anne, Ahmad Rashid M, Eckert Matthew J

机构信息

Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA ; Department of Surgery, Division of Trauma and Surgical Critical Care, Tennessee, USA.

Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

出版信息

J Emerg Trauma Shock. 2014 Jan;7(1):35-7. doi: 10.4103/0974-2700.125637.

DOI:10.4103/0974-2700.125637

PMID:24550628

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3912649/

Abstract

Simultaneous cardiac and pericardial rupture from blunt chest trauma is a highly lethal combination with rarely reported survival. We report of a case of young patient with a right atrioventricular groove injury, pericardial rupture and a unique description of a coronary sinus avulsion following blunt chest trauma. Rapid recognition of this injury is crucial to patient survival, but traditional diagnostic adjuncts such as ultrasound, echocardiography and computed tomography are often unhelpful. Successful repair of these injuries requires high suspicion of injury, early cardiac surgery involvement of and possible even placement of the patient on cardiopulmonary bypass.

摘要

钝性胸部创伤导致的心脏和心包同时破裂是一种极具致死性的情况，鲜有存活报道。我们报告一例年轻患者，其钝性胸部创伤后出现右房室沟损伤、心包破裂以及冠状静脉窦撕裂的独特描述。快速识别这种损伤对患者存活至关重要，但传统的诊断辅助手段如超声、超声心动图和计算机断层扫描往往并无帮助。成功修复这些损伤需要高度怀疑损伤情况，早期心脏外科介入，甚至可能要将患者置于体外循环下。