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钝性胸壁创伤导致心脏骤停

Blunt Chest Wall Trauma Leading to Sudden Cardiac Arrest.

作者信息

Hametner Greta, Widmer Fritz

机构信息

Rehabilitation Centre, Hochgebirgsklinik, Davos, Switzerland.

Department of Internal Medicine, Cardiology, Kantonsspital Muensterlingen, Muensterlingen, Switzerland.

出版信息

JACC Case Rep. 2024 Sep 4;29(17):102504. doi: 10.1016/j.jaccas.2024.102504.

DOI:10.1016/j.jaccas.2024.102504
PMID:39359512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11442348/
Abstract

A 54-year-old hockey player survived sudden cardiac arrest after a chest slapshot, receiving immediate resuscitation and defibrillation of ventricular fibrillation. Examinations revealed chest trauma and subclinical single-vessel disease; a coronary dissection could not be ruled out. The patient recovered without complications, underscoring the importance of rescue equipment in sports facilities.

摘要

一名54岁的曲棍球运动员在胸部遭受猛击式击球后心脏骤停，但幸免于难，随后立即接受了心肺复苏和室颤除颤治疗。检查发现有胸部创伤和亚临床单支血管病变；不能排除冠状动脉夹层。患者康复且无并发症，这凸显了体育设施中救援设备的重要性。

相似文献

1
Blunt Chest Wall Trauma Leading to Sudden Cardiac Arrest.钝性胸壁创伤导致心脏骤停
JACC Case Rep. 2024 Sep 4;29(17):102504. doi: 10.1016/j.jaccas.2024.102504.
2
Sudden death of a young hockey player: case report of commotio cordis.一名年轻曲棍球运动员的猝死：心脏震荡病例报告。
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Blunt impact to the chest leading to sudden death from cardiac arrest during sports activities.在体育活动期间，胸部受到钝性撞击导致心脏骤停而猝死。
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本文引用的文献

1
What Is New in Spontaneous Coronary Artery Dissection?自发性冠状动脉夹层有哪些新进展？
CJC Open. 2023 Oct 13;6(2Part B):417-424. doi: 10.1016/j.cjco.2023.10.007. eCollection 2024 Feb.
2
Blunt Trauma to the Heart: A Review of Pathophysiology and Current Management.心脏钝性创伤：病理生理学与当前治疗的综述。
J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt A):2707-2718. doi: 10.1053/j.jvca.2021.10.018. Epub 2021 Oct 19.
3
Occult coronary artery disease in middle-aged sportsmen with a low cardiovascular risk score: The Measuring Athlete's Risk of Cardiovascular Events (MARC) study.
心血管风险评分低的中年运动员中的隐匿性冠状动脉疾病：测量运动员心血管事件风险（MARC）研究
Eur J Prev Cardiol. 2016 Oct;23(15):1677-84. doi: 10.1177/2047487316651825. Epub 2016 May 24.
4
Traumatic coronary artery dissection: potential cause of sudden death in soccer.创伤性冠状动脉夹层：足球运动中猝死的潜在原因。
Circulation. 2013 Jan 22;127(3):e280-2. doi: 10.1161/CIRCULATIONAHA.112.119982.
5
Commotio cordis.心脏震荡
N Engl J Med. 2010 Mar 11;362(10):917-27. doi: 10.1056/NEJMra0910111.
6
Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006.年轻竞技运动员的猝死：对1980年至2006年美国1866例死亡病例的分析。
Circulation. 2009 Mar 3;119(8):1085-92. doi: 10.1161/CIRCULATIONAHA.108.804617. Epub 2009 Feb 16.
7
Silent myocardial ischemia.无症状心肌缺血
Circulation. 2003 Sep 9;108(10):1263-77. doi: 10.1161/01.CIR.0000088001.59265.EE.
8
Impact directly over the cardiac silhouette is necessary to produce ventricular fibrillation in an experimental model of commotio cordis.在心脏震荡的实验模型中，直接撞击心脏轮廓对于引发心室颤动是必要的。
J Am Coll Cardiol. 2001 Feb;37(2):649-54. doi: 10.1016/s0735-1097(00)01142-6.
9
An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis).低能量胸壁撞击（心脏震荡）所致猝死的实验模型
N Engl J Med. 1998 Jun 18;338(25):1805-11. doi: 10.1056/NEJM199806183382504.
10
Blunt impact to the chest leading to sudden death from cardiac arrest during sports activities.在体育活动期间，胸部受到钝性撞击导致心脏骤停而猝死。
N Engl J Med. 1995 Aug 10;333(6):337-42. doi: 10.1056/NEJM199508103330602.