沉默严重的大动脉反由于的胸部创伤:忽略它在你的危险-一个案例报告报告
Rafaella I L Markides1, Ulrich P Rosendahl2, Isabelle Roussin3
1University of Cambridge School of Clinical Medicine, Box 111 Cambridge Biomedical Campus, Cambridge CB2 OSP, UK.
European heart journal. Case reports
|October 3, 2024
概括
的胸部创伤可能导致延迟的大动脉反,这是一种罕见但严重的心脏并发症. 早期心声回声仪对于检测这种情况至关重要,即使没有立即症状.
科学领域:
- 心脏病学 心脏病学
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 突发性胸部创伤 (BCT) 是一个常见的急诊室表现,有可能导致危及生命的心脏并发症.
- 虽然血液动力学不稳定的并发症很快就会被发现,但其他并发症可能会出现迟,导致长期的后续症状.
- 这一案例突出了BCT的罕见,严重并发症,在受伤后5年出现.
研究的目的:
- 报告一个罕见的严重大动脉反 (AR) 病例,该病例发生在胸部受伤5年后.
- 为了强调早期心声回声学在的胸部创伤患者的重要性,无论血动力学稳定性.
- 提高临床医生对BCT后潜在的长期心脏膜损伤的认识.
主要方法:
- 一个案例报告,一个23岁的男性有BCT病史,来自于5年前的道路交通事故 (RTA).
- 临床检查显示有严重大动脉吐的迹象 (例如,透支声,杜罗齐兹征兆).
- 诊断性心声扫描显示了大动脉顶的洞,严重的AR和左心室扩张;随后是大动脉置换 (AVR).
主要成果:
- 病人偶尔出现心脏声,后来被诊断为严重的膜大动脉吐.
- 心声检查证实了大动脉顶的缺陷,严重的AR和显著的左心室扩张.
- 成功的大动脉置换 (AVR) 导致左心室尺寸的快速恢复和正常化.
结论:
- 大动脉反是一种罕见但已知的BCT并发症,通常与RTAs相关.
- 由于缺乏急性血液动力学不稳定性,在BCT后延迟诊断AR是常见的,需要例行心声回声.
- 临床医生必须保持对BCT诱导的门损伤的高度怀疑指数,并考虑为所有BCT患者立即进行心声回声.
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