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一例在监狱斗殴中发生钝性创伤所致ST段抬高型心肌梗死的病例。

A Case of Blunt Trauma-induced ST-elevation Myocardial Infarction Sustained During a Prison Brawl.

作者信息

Clark Zachary T, Thiel Natalie, Perry John, Minckler Michael R

机构信息

Molecular Biology, Whitman College, Walla Walla, USA.

Epidemiology and Public Health, University of Washington, Seattle, USA.

出版信息

Cureus. 2020 Jan 22;12(1):e6733. doi: 10.7759/cureus.6733.

DOI:10.7759/cureus.6733
PMID:32133256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7034751/
Abstract

Myocardial infarction (MI) is a serious and time-sensitive condition. MIs are typically seen in patients with coronary artery disease (CAD) and are caused by the rupture of an atherosclerotic plaque due to factors contributing to plaque instability. However, this case illustrates that plaque rupture can also be caused by blunt trauma to the chest. Considering MI as a possible result of chest trauma may decrease time from presentation to diagnosis and treatment and, therefore, improve outcomes in similar cases, particularly when patients presents unusually or with very few risk factors for MI.

摘要

心肌梗死(MI)是一种严重且对时间敏感的病症。心肌梗死通常见于冠状动脉疾病(CAD)患者,由导致斑块不稳定的因素致使动脉粥样硬化斑块破裂引起。然而,该病例表明胸部钝性创伤也可导致斑块破裂。将心肌梗死视为胸部创伤的一种可能结果,可缩短从就诊到诊断及治疗的时间,从而改善类似病例的治疗效果,尤其是当患者表现异常或心肌梗死风险因素极少时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/677e95b7b953/cureus-0012-00000006733-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/1d2c00cc39be/cureus-0012-00000006733-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/5d3420bcf2cf/cureus-0012-00000006733-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/677e95b7b953/cureus-0012-00000006733-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/1d2c00cc39be/cureus-0012-00000006733-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/5d3420bcf2cf/cureus-0012-00000006733-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aabf/7034751/677e95b7b953/cureus-0012-00000006733-i03.jpg

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引用本文的文献

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Am J Cardiovasc Dis. 2023 Aug 15;13(4):247-251. eCollection 2023.

本文引用的文献

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Analysis of risk factors of ST-segment elevation myocardial infarction in young patients.青年患者ST段抬高型心肌梗死的危险因素分析
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Myocardial infarction as a complication of injury.心肌梗死作为损伤的一种并发症。
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Posteromedial papillary muscle rupture as a result of right coronary artery occlusion after blunt chest injury.钝性胸部损伤后右冠状动脉闭塞导致后内侧乳头肌破裂。
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