Lambrecht L, Colardyn F, Clement D L, Derom F
Department of Internal Medicine, University Hospital, Gent.
Acta Anaesthesiol Belg. 1987;38(4):307-15.
During a consecutive period of 24 months, 244 patients with a major trauma were admitted to the Intensive Care Unit. From this pool of patients 60 consecutively were selected who did fulfill the selected criteria. We intended to determine within this studygroup the incidence, clinical features and outcome of patients with myocardial contusion (MC). We could conclude that no currently used diagnostic test may be seen as an accurate prediction of patients who still develop morbidity or mortality from cardiac contusion. Data from the literature suggest that at present only radionuclide angiography, direct hemodynamic measurement with construction of a Starling curve, and/or 2D-echocardiography may be useful in the identification of the patients at the greatest risk and predictive of the severity of the myocardial injury.
在连续24个月的期间内，244例严重创伤患者被收入重症监护病房。从这些患者中连续选取了60例符合选定标准的患者。我们打算在这个研究组中确定心肌挫伤（MC）患者的发病率、临床特征和结局。我们可以得出结论，目前使用的任何诊断测试都不能被视为对仍会因心脏挫伤而发病或死亡的患者的准确预测。文献数据表明，目前只有放射性核素血管造影、通过构建斯塔林曲线进行直接血流动力学测量和/或二维超声心动图可能有助于识别风险最高的患者，并预测心肌损伤的严重程度。
