Wu Pin-Yi, Moedi Omphemetse, Meel Ruchika
Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Internal Medicine, Division of Cardiology, Chris Hani Baragwanath Academic Hospital and University of the Witwatersrand, Johannesburg, South Africa.
CASE (Phila). 2023 Aug 30;7(10):421-425. doi: 10.1016/j.case.2023.07.002. eCollection 2023 Oct.
• Penetrating chest injuries vary in presentation and are associated with mortality. • Pericardial compliance and rate of bleeding cause hemodynamic lability. • Objective judgment of the mechanism of injury is needed to anticipate exact injuries. • Cardiac ultrasound with advanced 3D imaging is an increasingly accessible tool. • Defining the damage to the normal anatomy guides further definitive management.
• 穿透性胸部损伤的表现各异,且与死亡率相关。
• 心包顺应性和出血速度导致血流动力学不稳定。
• 需要对损伤机制进行客观判断,以预测确切损伤。
• 具有先进三维成像功能的心脏超声是一种越来越容易获得的工具。
• 明确正常解剖结构的损伤情况有助于进一步确定治疗方案。