Myocardial contusion: emergency investigation and diagnosis

被引:41
作者
Kaye, P [1 ]
O'Sullivan, I [1 ]
机构
[1] Bristol Royal Infirm & Gen Hosp, Emergency Dept, Bristol BS2 8HW, Avon, England
关键词
D O I
10.1136/emj.19.1.8
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Cardiac contusion is an infrequent but occasionally serious complication of deceleration injury. According to ATLS teaching, the true diagnosis of contusion can only be established by direct inspection of the myocardium. The clinically important sequelae of myocardial contusion are hypotension and arrhythmia. Despite recent advances in investigative techniques, myocardial trauma remains an important diagnostic and management challenge. This paper presents an evidence-based review of the topic.
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页码:8 / 10
页数:3
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