查詢結果分析
來源資料
相關文獻
- Coronary Dissection and Myocardial Infarction Following Blunt Chest Trauma
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頁籤選單縮合
題 名 | Coronary Dissection and Myocardial Infarction Following Blunt Chest Trauma=胸部挫傷導致冠狀動脈剝離而引發心肌梗塞 |
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作 者 | 傅懋洋; 吳炯仁; 謝敏暲; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:2 1999.02[民88.02] |
頁 次 | 頁136-140 |
分類號 | 416.22 |
關鍵詞 | 胸部挫傷; 冠狀動脈; 剝離; 心肌梗塞; Blunt chest trauma; Myocardial infarction; Coronary dissection; |
語 文 | 英文(English) |
英文摘要 | Myocardial infarction (MI) following blunt chest trauma is rarely diagnosed because the ensuing cardiac pain is commonly attributed to contused myocardium or the traumatic injuries in the local chest wall. There are only scattered reports on the coronary pathology associated with MI secondary to blunt chest trauma. Because differentiation of the pathology is difficult but important, we report here three cases of acute anterior MI secondary to coronary dissection following blunt chest trauma. Coronary dissection was demonstrated by coronary angiography. Two of the patients had intimal tears at the proximal left anterior descending artery (LAD) with normal flow, and the other patient had nearly total occlusion of the LAD associated with filling defects probably caused by an intracoronary thrombus. All three patients received conservative treatment without major complications and remained free from angina or heart failure throughout a 5-year follow-up period. In order to exclude associated MI in cases of blunt chest trauma, electrocardiography is necessary, and coronary angiography may be indicated to demonstrate coronary arterial pathology. Dissection of the coronary artery with subsequent thrombus formation is one of the possible pathophysiologic mechanisms of MI following blunt chest trauma. |
本系統中英文摘要資訊取自各篇刊載內容。