Klose R, Stump C
Abteilung für Anästhesie und Intensivemedizin der Berufsgenossenschaftlichen Unfallklinik Ludwigshafen.
Aktuelle Traumatol. 1987 Dec;17(6):268-70.
Whereas heart contusion can be identified by autopsy as a traumatic damage to the heart, clinical diagnosis during life is mostly made by exclusion only and subsequently, the more so since there is no absolutely reliable parameter that permits diagnosis ad hoc. Complications often develop only hours or days after the accident. Heart contusion can be masked by haemorrhagic-traumatic shock and accompanying injuries and delay its diagnosis. Traumatic damage to the myocardium can equal a myocardial infarction. Hence, it is imperative that persons injured in an accident who are suspected of having suffered a contusion of the heart, are placed in an intensive-care ward to recognise complications well in time and to institute therapeutic measures without delay. As is the case with acute myocardial infarction, anaesthesia and surgery can be performed only in case of a vital indication.
虽然心脏挫伤在尸检时可被确认为心脏的创伤性损伤，但生前的临床诊断大多只能通过排除法做出，而且由于没有绝对可靠的参数可以进行即时诊断，情况更是如此。并发症往往在事故发生数小时或数天后才出现。心脏挫伤可能被出血性创伤性休克及伴随的损伤所掩盖，从而延误其诊断。心肌的创伤性损伤可能等同于心肌梗死。因此，对于事故中受伤且疑似心脏挫伤的人员，必须将其安置在重症监护病房，以便及时识别并发症并立即采取治疗措施。与急性心肌梗死一样，只有在有生命指征的情况下才能进行麻醉和手术。
