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别忽略心脏震荡。

Don't Forget Commotio Cordis.

机构信息

HCM Institute, Tufts Medical Center, Boston, Massachusetts.

Division of Cardiology, UT Southwestern Medical Center, Dallas, Texas.

出版信息

Am J Cardiol. 2021 Oct 1;156:134-135. doi: 10.1016/j.amjcard.2021.05.053. Epub 2021 Jul 23.

Abstract

Non-penetrating chest blows can occasionally trigger fatal ventricular tachyarrhythmias and sudden death (commotio cordis). Such events were initially reported in association with sporting activities and projectiles such as baseball/lacrosse balls. However, similar potentially fatal chest blows, seemingly incapable of causing death, can occur during a variety of other circumstances such as when delivered during a fight (by a fist) such as in the accompanying paper. Notably, commotio cordis events can be reversed by resuscitation and defibrillation.

摘要

非穿透性胸部撞击偶尔可引发致命性室性心动过速和心源性猝死(心脏震荡)。此类事件最初与运动和球类(如棒球/长曲棍球)等投射物有关。然而,在其他各种情况下,类似看似无法致死的潜在致命性胸部撞击也可能发生,例如在打架时(拳头)造成的撞击,如随附论文中所述。值得注意的是,心脏震荡事件可通过心肺复苏和除颤逆转。

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