Blunt Cardiac Injury

被引：37

作者：

Marcolini, Evie G. ^{[1
,2
]}

Keegan, Joshua ^{[3
]}

机构：

[1] Yale Univ, Sch Med, Dept Emergency Med & Neurol, Div Neurocrit Care & Emergency Neurol, New Haven, CT 06519 USA

[2] Yale Univ, Sch Med, Div Neurocrit Care & Emergency Neurol, Dept Neurol, New Haven, CT 06520 USA

[3] Yale Univ, Sch Med, Dept Emergency Med, New Haven, CT 06519 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2015年 / 33卷 / 03期

关键词：

Blunt cardiac injury; Cardiac contusion; Cardiac concussion; Commotio cordis; Contusio cordis; COMPLETE HEART-BLOCK; MYOCARDIAL CONTUSION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; CLINICAL-SIGNIFICANCE; EASTERN ASSOCIATION; TROPONIN-I; TRAUMA; MANAGEMENT; ELECTROCARDIOGRAPHY; ELEVATION;

D O I：

10.1016/j.emc.2015.04.003

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Blunt cardiac injury encompasses multiple different injuries, including contusion, chamber rupture, and acute valvular disorders. Blunt cardiac injury is common and may cause significant morbidity and mortality; a high index of suspicion is needed for accurate diagnosis. Diagnostic work-up should always include electrocardiogram and cardiac enzymes, and may include echocardiography if specific disorders (ie, tamponade or valvular disorders) are suspected. Patients with myocardial contusion should be observed for 24 to 48 hours for arrhythmias. Many other significant forms of blunt cardiac injury require surgical intervention.

引用

页码：519 / +

页数：11

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