钝性创伤所致晚期室间隔缺损
Late ventricular septal defect due to blunt trauma.
作者信息
Soleimanpour Hassan, Shams Vahdati Samad, Fakhree M Bassir A
机构信息
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Emergency Medicine Department, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Bioimpacts. 2015;5(2):93-5. doi: 10.15171/bi.2015.14. Epub 2015 Apr 21.
INTRODUCTION
This is very rare case report regarding late ventricular septal defect (VSD) following blunt trauma.
CASE REPORT
A 23-year-old motorcycle rider lost control and crashed to another motorcycle. He was transferred to emergency department by emergency medical services. Initial evaluation revealed some minor trauma which was managed, and he was discharged. There was a lately developed large apical VSD with delayed cardiopulmonary deterioration. The defect was recognized more than 10 days after accident, and repaired the day after.
DISCUSSION
Most VSD patients with blunt trauma remain asymptomatic following trauma while those with no primary findings experience gradual decompensation.
引言
这是一篇关于钝性创伤后迟发性室间隔缺损（VSD）的非常罕见的病例报告。
病例报告
一名23岁的摩托车骑手失去控制，与另一辆摩托车相撞。他被紧急医疗服务人员送往急诊科。初步评估发现一些轻微创伤并进行了处理，随后他出院了。后来出现了一个大的心尖部室间隔缺损，并伴有延迟性心肺功能恶化。该缺损在事故发生10多天后才被发现，并于次日进行了修复。
讨论
大多数钝性创伤导致室间隔缺损的患者在创伤后仍无症状，而那些最初无明显症状的患者会逐渐出现失代偿。
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