Cardiac ContusionA New Diagnostic Approach Utilizing Two‐dimensional Echocardiography
作者:
R. KING,
PETER MUCHA,
JAMES SEWARD,
BERNARD GERSH,
MICHAEL FARNELL,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1983)
卷期:
Volume 23,
issue 7
页码: 610-614
ISSN:0022-5282
年代: 1983
出版商: OVID
数据来源: OVID
摘要:
In the past, myocardial contusions after blunt thoracic trauma have been frequently overlooked or missed unless hemodynamic instability or dramatic electrocardiographic findings were observed. We now know that this entity is more common than once believed. However, our understanding of cardiac contusions remains unclear and obscure because of the inability to diagnose the condition accurately. Chest roentgenograms, electrocardiograms, and radionuclide imaging have had less than optimal success. We believe that the serial determination of creatine phosphokinase-myocardial band isoenzymes and subsequent two-dimensional echocardiographic sector scanning are the most sensitive indicators of structural and functional cardiac injury presently available.
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