钝性心脏创伤综述
Blunt Cardiac Trauma Review.
作者信息
Huis In 't Veld Maite A, Craft Colin A, Hood Robert E
机构信息
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
Division of Cardiology, Department of Medicine, University of Maryland Medical Center, 110 South Paca street, 7th floor, Baltimore, MD 21201, USA.
出版信息
Cardiol Clin. 2018 Feb;36(1):183-191. doi: 10.1016/j.ccl.2017.08.010.
Patients suffering blunt cardiac trauma vary widely in the severity of their condition on presentation. Although some may present with mild sternal bruising, others may present with acute valvular rupture or malignant arrhythmia. Disposition for these patients ranges from discharge home to admission for urgent cardiac surgery. This article discusses some of the common types of blunt cardiac trauma and reviews the current literature and guidelines for their triage and initial management.
钝性心脏创伤患者就诊时病情严重程度差异很大。虽然有些患者可能仅表现为轻度胸骨瘀伤，但其他患者可能会出现急性瓣膜破裂或恶性心律失常。这些患者的处置方式从出院回家到紧急心脏手术入院不等。本文讨论了一些常见的钝性心脏创伤类型，并回顾了当前关于其分诊和初始管理的文献及指南。
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