Chan Ee Lyn, Malik Jawaad Saleem, Gomez Carlos
Junior Clinical Fellow in Intensive Care Medicine, St Mary's Hospital, Imperial College NHS Trust, London, United Kingdom.
Anaesthetic Registrar, St Mary's Hospital, Imperial College NHS Trust, London, United Kingdom.
Bull Emerg Trauma. 2021 Jul;9(3):151-154. doi: 10.30476/BEAT.2021.87689.1192.
Blunt chest trauma is a rare cause of acute coronary syndrome and can be masked by other injuries in polytrauma patients. It can have devastating consequences due to damage to the myocardial tissue if left un-recognized. Myocardial injury can result in life-threatening arrhythmias and complications such as systolic and diastolic dysfunction. This can significantly affect patients' quality of life. A 34-year-old man involved in a paragliding incident in Kazakhstan. His equipment failed at 30 meters height and result him to be propelled at high velocity to the ground. He sustained multiple injuries including spinal fractures, lung contusions and a mediastinal haematoma. He was transported to a local hospital and noted to have ST segment elevation on his admission electrocardiogram (ECG). He underwent an angiogram that showed sub-occlusion of his left anterior descending (LAD) artery. This resulted in a time-critical Percutaneous Coronary Intervention (PCI). He was stabilized and repatriated to the UK to manage of remaining injuries.
钝性胸部创伤是急性冠状动脉综合征的罕见病因，在多发伤患者中可能被其他损伤所掩盖。如果未被识别，由于心肌组织受损，它可能会产生毁灭性后果。心肌损伤可导致危及生命的心律失常以及诸如收缩和舒张功能障碍等并发症。这会显著影响患者的生活质量。一名34岁男子在哈萨克斯坦参与了一次滑翔伞事故。他的设备在30米高度出现故障，导致他高速坠地。他多处受伤，包括脊椎骨折、肺挫伤和纵隔血肿。他被送往当地医院，入院心电图（ECG）显示ST段抬高。他接受了血管造影，结果显示左前降支（LAD）动脉次全闭塞。这导致了紧急经皮冠状动脉介入治疗（PCI）。他病情稳定后被遣返回英国处理其余损伤。
