Dupeyron J P, Franckhauser D, Pottecher T
Anesth Analg (Paris). 1980;37(7-8):433-8.
Myocardial injuries are often misknown because of hard diagnosis. After presenting two clinical cases, this paper concerns clinical and biological criteria used to prove post-traumatic myocardial injury. Increased serum level of M.B. fractions of C.P.K. associated with typical electrocardiographic aspect is enough; other investigations are less specific and may be hasardous to attempt. Prognosis and therapy are close to acute myocardia infarction.
由于诊断困难,心肌损伤常常被误诊。在呈现两个临床病例后,本文关注用于证实创伤后心肌损伤的临床和生物学标准。血清肌酸磷酸激酶(CPK)中MB同工酶水平升高并伴有典型心电图表现就足够了;其他检查特异性较低,尝试进行可能有风险。其预后和治疗与急性心肌梗死相近。