冠状动脉闭塞与心肌梗死：钝性胸部创伤罕见的并发症

Coronary artery occlusion and myocardial infarction: a seldom encountered complication of blunt chest trauma.

作者信息

Banzo I, Montero A, Uriarte I, Vallina N, Hernández A, Guede C, Quirce R, Carril J M

机构信息

Nuclear Medicine Service, University Hospital Marqués de Valdecilla, Santander, Spain.

出版信息

Clin Nucl Med. 1999 Feb;24(2):94-6. doi: 10.1097/00003072-199902000-00003.

DOI:10.1097/00003072-199902000-00003

PMID:9988064

Abstract

Myocardial infarction is a rare complication that can occur after blunt chest trauma. The authors describe a 30-year-old man who experienced a fatal anterolateral myocardial infarction after chest trauma in a motorcycle accident. The electrocardiogram and creatine phosphokinase-MB isoenzymes levels suggested myocardial necrosis. Tc-99m phosphate myocardial scintigraphy identified an extensive doughnut-shaped uptake over the cardiac area. An echocardiogram revealed severe left ventricular impairment. Coronary angiography confirmed complete occlusion of the proximal left anterior descending coronary artery.

摘要

心肌梗死是钝性胸部创伤后可能发生的一种罕见并发症。作者描述了一名30岁男性，他在一次摩托车事故中胸部受伤后发生了致命的前外侧心肌梗死。心电图和肌酸磷酸激酶-MB同工酶水平提示心肌坏死。锝-99m磷酸盐心肌闪烁显像显示心脏区域有广泛的环形摄取。超声心动图显示左心室严重受损。冠状动脉造影证实左前降支冠状动脉近端完全闭塞。