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冠状动脉壁内血肿致心肌梗死，酷似创伤性假性动脉瘤或夹层：一例报告。

Coronary artery intramural hematoma causing myocardial infarction mimicking pseudoaneurysm or dissection from trauma: A case report.

作者信息

Albriek Abdulilah Z, Alamri Saad, Hamad Faisal, Alshamiri Mostafa

机构信息

Department of Medical Imaging, Cardiothoracic Imaging Section King Saud Medical City Riyadh Saudi Arabia.

Cardiothoracic Imaging section Security Force Hospital Riyadh Saudi Arabia.

出版信息

Clin Case Rep. 2024 Jun 26;12(7):e8988. doi: 10.1002/ccr3.8988. eCollection 2024 Jul.

DOI:10.1002/ccr3.8988
PMID:38939554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11208282/
Abstract

Blunt chest trauma caused ST-segment elevation myocardial infarction. Diagnosis of intramural hematoma (IMH) using computed tomography was confirmed using electrocardiography, cardiac marker tests, and subsequent coronary angiography. After conservative treatment, the hematoma was completely resolved 1 year later. Differentiating IMH from other arterial injuries is critical for appropriate management.

摘要

钝性胸部创伤导致ST段抬高型心肌梗死。通过计算机断层扫描诊断为壁内血肿（IMH），并经心电图、心脏标志物检测及随后的冠状动脉造影得到证实。保守治疗后，血肿在1年后完全消退。将IMH与其他动脉损伤相鉴别对于恰当的治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/d5fa4f73f2cf/CCR3-12-e8988-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/8d870df3d62f/CCR3-12-e8988-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/cedb253cbff3/CCR3-12-e8988-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/d87fc6697a6b/CCR3-12-e8988-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/3302cbe70ec2/CCR3-12-e8988-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/d5fa4f73f2cf/CCR3-12-e8988-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/8d870df3d62f/CCR3-12-e8988-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/cedb253cbff3/CCR3-12-e8988-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/d87fc6697a6b/CCR3-12-e8988-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/3302cbe70ec2/CCR3-12-e8988-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea0/11208282/d5fa4f73f2cf/CCR3-12-e8988-g005.jpg

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本文引用的文献

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Pregnancy-Related Spontaneous Coronary Artery Pseudoaneurysm Healed by Medical Treatment Guided by Optical Coherence Tomography.光学相干断层扫描引导下药物治疗治愈的妊娠相关自发性冠状动脉假性动脉瘤
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An Uncommon Cause of ST-Segment Elevation Myocardial Infarction: Intramural Coronary Artery Hematoma After Blunt Chest Trauma.ST段抬高型心肌梗死的罕见病因：钝性胸部创伤后冠状动脉壁内血肿
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