Sutherland G R, Amacher A L, Sibbald W J, Driedger A L
Childs Nerv Syst. 1985;1(4):219-22. doi: 10.1007/BF00270766.
Of 19 adolescents (ages 10-18) admitted consecutively because of major blunt-impact trauma, 15 had head injuries (Glasgow coma scales 4-15). Eight had cardiac injury (42%), as demonstrated by cardiac wall-motion studies utilizing ECG-gated radionuclide angiography. Of the head-injured patients, 7 had cardiac injury (47%), and of these, one died in cardiac shock. Significant cardiac injury is known both experimentally and clinically to escape detection by conventional methods and a compromised cardiac output may bode ill for a damaged brain if cerebral perfusion pressure is in jeopardy.
在因严重钝器撞击伤而连续收治的19名青少年（年龄10 - 18岁）中，15人有头部损伤（格拉斯哥昏迷量表评分4 - 15分）。8人有心脏损伤（42%），这通过利用心电图门控放射性核素血管造影的心脏壁运动研究得以证实。在头部受伤的患者中，7人有心脏损伤（47%），其中1人死于心源性休克。众所周知，无论是在实验还是临床中，常规方法都难以检测到严重的心脏损伤，并且如果脑灌注压处于危险状态，心输出量受损可能对受损大脑预后不利。
