Mecham N L
J Emerg Nurs. 1993 Dec;19(6):540-3.
This case was unique in that we were seeing signs and symptoms of a cardiac contusion 11 hours after injury, when cellular edema was causing lethal bradyarrhythmias and hypotension. Keeping the possibility of a cardiac contusion in mind when caring for pediatric patients with trauma and including a 12-lead EKG more routinely for pediatric patients with chest trauma would increase identification of potential problems as early as possible. Although cardiac contusion is not common in children, it must not be overlooked.
该病例的独特之处在于，在受伤11小时后我们才看到心脏挫伤的体征和症状，此时细胞水肿正在导致致命的缓慢性心律失常和低血压。在护理创伤患儿时牢记心脏挫伤的可能性，并更常规地为胸部创伤患儿进行12导联心电图检查，将尽早增加对潜在问题的识别。虽然心脏挫伤在儿童中并不常见，但绝不能忽视。
