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钝性胸部损伤后创伤性多支冠状动脉夹层导致年轻男性延迟性急性心肌梗死。

Delayed acute myocardial infarction in a young man with traumatic multivessel coronary artery dissection after blunt chest injury.

机构信息

Department of Medicine, Hospital Canselor Tuanku Muhriz, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Malaysia

Department of Radiology, Hospital Canselor Tuanku Muhriz, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandr Tun Razak, Malaysia.

出版信息

BMJ Case Rep. 2024 Apr 29;17(4):e260649. doi: 10.1136/bcr-2024-260649.

DOI:10.1136/bcr-2024-260649
PMID:38684352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11146351/
Abstract

A man in his 20s with no medical illness sustained a blunt chest injury with pneumothorax and lung contusion after involving in a motorbike accident. Five days postadmission, he subsequently had myocardial infarction with cardiac arrest, in which coronary angiogram and intravascular ultrasound showed diffused multivessel coronary artery dissection.

摘要

一名 20 多岁的男性，无任何病史，因骑摩托车发生事故导致胸部钝挫伤、气胸和肺挫伤。入院后 5 天，他随后发生心肌梗死并导致心脏骤停，冠状动脉造影和血管内超声显示弥漫性多支冠状动脉夹层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/5eee09ddf0e2/bcr-2024-260649f08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/4b5c49b2a3a9/bcr-2024-260649f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/b048de14796a/bcr-2024-260649f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/f4c2adace74a/bcr-2024-260649f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/063d334432dd/bcr-2024-260649f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/7d55e8892413/bcr-2024-260649f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/0e98e23ec5c4/bcr-2024-260649f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/bd66ece5706a/bcr-2024-260649f07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/5eee09ddf0e2/bcr-2024-260649f08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/4b5c49b2a3a9/bcr-2024-260649f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/b048de14796a/bcr-2024-260649f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/f4c2adace74a/bcr-2024-260649f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/063d334432dd/bcr-2024-260649f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/7d55e8892413/bcr-2024-260649f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/0e98e23ec5c4/bcr-2024-260649f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/bd66ece5706a/bcr-2024-260649f07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11146351/5eee09ddf0e2/bcr-2024-260649f08.jpg

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本文引用的文献

1
Blunt traumatic coronary artery dissection: A case study.钝性创伤性冠状动脉夹层：病例报告
Trauma Case Rep. 2021 Dec 23;37:100594. doi: 10.1016/j.tcr.2021.100594. eCollection 2022 Feb.
2
Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma.钝性胸部创伤后创伤性冠状动脉夹层伴继发性急性心肌梗死
J Belg Soc Radiol. 2018 Jan 4;102(1):4. doi: 10.5334/jbr-btr.1379.
3
Traumatic coronary artery dissection: a case report and literature review.创伤性冠状动脉夹层：一例病例报告及文献综述
J Emerg Med. 2012 Oct;43(4):e239-43. doi: 10.1016/j.jemermed.2010.04.019. Epub 2010 Jun 7.