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爆震伤：左冠状动脉夹层的一种极为罕见的病因。

Blast Injury: A Very Rare Cause of Left Coronary Artery Dissection.

作者信息

Kurklu Haci Ali, Tan Turkan Seda

机构信息

Department of Cardiovascular Medicine, Lokman Hekim University School of Medicine, Akay Hospital, Ankara, Turkey.

Department of Cardiovascular Medicine, Ankara University School of Medicine, Ankara, Turkey.

出版信息

JACC Case Rep. 2021 Dec 15;3(18):1898-1902. doi: 10.1016/j.jaccas.2021.09.015.

DOI:10.1016/j.jaccas.2021.09.015
PMID:34984348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8693272/
Abstract

Acute coronary artery dissection commonly occurs in young women without cardiovascular risk factors. Predisposing factors, including fibromuscular dysplasia or other vasculopathies, have been demonstrated in its etiology. Here we report the case of a 46-year-old-man who presented with left anterior descending coronary artery dissection caused by blast injury after a bomb explosion. ().

摘要

急性冠状动脉夹层通常发生在没有心血管危险因素的年轻女性中。其病因已证实存在一些易感因素，包括纤维肌发育不良或其他血管病变。在此，我们报告一例46岁男性病例，该患者在炸弹爆炸后因爆炸伤导致左前降支冠状动脉夹层。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/6eb4107b9665/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/384253f38f72/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/95b03554d5cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/6eb4107b9665/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/384253f38f72/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/95b03554d5cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/8693272/6eb4107b9665/gr2.jpg

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本文引用的文献

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Cardiac injury following blunt chest trauma: diagnosis, management, and uncertainty.钝性胸部创伤后的心脏损伤：诊断、处理及不确定性
Int J Burns Trauma. 2021 Apr 15;11(2):80-89. eCollection 2021.
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Spontaneous Coronary-Artery Dissection.自发性冠状动脉夹层
N Engl J Med. 2020 Dec 10;383(24):2358-2370. doi: 10.1056/NEJMra2001524.
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Left anterior descending artery dissection: a rare sequela of blunt chest trauma.
Intern Med J. 2020 Jul;50(7):880-882. doi: 10.1111/imj.14904.
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Thoracic Injury in Patients Injured by Explosions on the Battlefield and in Terrorist Incidents.战场上爆炸和恐怖事件中受伤患者的胸部损伤。
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Rev Cardiovasc Med. 2017;18(1):29-36. doi: 10.3909/ricm0842.
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Ugeskr Laeger. 2015 Mar 16;177(12):V10140572.
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Pregnancy-related spontaneous coronary artery dissection.妊娠相关的自发性冠状动脉夹层
Circulation. 2014 Nov 18;130(21):1915-20. doi: 10.1161/CIRCULATIONAHA.114.011422.
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Coronary artery stenting for occlusive dissection after blunt chest trauma.钝性胸部创伤后冠状动脉闭塞性夹层的冠状动脉支架置入术。
J Trauma. 1998 Jul;45(1):157-61. doi: 10.1097/00005373-199807000-00034.