心肌挫伤中使用强心药物：2例报告。

The use of inotropic drugs in myocardial contusion: 2 case reports.

作者信息

Macdonald R C, Hanning C D, Ledingham I M

出版信息

Intensive Care Med. 1980;6(1):19-23. doi: 10.1007/BF01683076.

Abstract

Myocardial contusion is a common complication of blunt chest injury. Severe heart failure and shock may result. The haemodynamic consequences of myocardial contusion in two patients are described; both received inotropic agents. In the first patient dobutamine was successful in improving myocardial function; dopamine had similar effects on the heart. In the second patient dopamine, preferred for its renal effects, produced a short-term improvement in myocardial function. The rational use of pharmacological agents in this condition demands precise understanding of the underlying haemodynamic disturbances.

摘要

心肌挫伤是钝性胸部损伤的常见并发症。可能会导致严重心力衰竭和休克。本文描述了两名心肌挫伤患者的血流动力学后果；两人均接受了正性肌力药物治疗。在第一名患者中，多巴酚丁胺成功改善了心肌功能；多巴胺对心脏也有类似作用。在第二名患者中，因其对肾脏的作用而选用的多巴胺使心肌功能得到了短期改善。在这种情况下合理使用药物需要精确了解潜在的血流动力学紊乱情况。