Emergency diagnosis of severe myocardial contusion

ZHOU Yang; et al

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Emergency diagnosis of severe myocardial contusion

更新时间：2024-01-17

- Emergency diagnosis of severe myocardial contusion
- Journal of Chongqing Medical University Issue 11, Pages: 1376-1378(2008)
- 作者机构：
  
  1. 四川省宜宾市第二人民医院胸心外科
  2. 重庆医科大学附属第一医院胸心外科
  3. 重庆市急救医疗中心心胸外科重庆市急救医学研究所
- 作者简介：
- 基金信息：
- DOI：
  CLC： R654.2
- Published：2008，
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[1]周洋,吴远林,向小勇,赵兴吉.重度心肌挫伤急诊诊断方法的探讨[J].重庆医科大学学报,2008(11):1376-1378.

ZHOU Yang, et al. Emergency diagnosis of severe myocardial contusion. [J]. Journal of Chongqing Medical University (11):1376-1378(2008)
[1]周洋,吴远林,向小勇,赵兴吉.重度心肌挫伤急诊诊断方法的探讨[J].重庆医科大学学报,2008(11):1376-1378. DOI：

ZHOU Yang, et al. Emergency diagnosis of severe myocardial contusion. [J]. Journal of Chongqing Medical University (11):1376-1378(2008) DOI：

摘要

目的:探讨重度心肌挫伤的急诊诊断方法。方法:对30例严重钝性胸部创伤患者分别在伤后1、2、4、8h行心肌标志物检测和超声心动图检查。结果:伤后8h肌钙蛋白T（Cardiac troponinT

cTn-T）和肌钙蛋白I（Cardiac troponinI

cTn-I）均明显高于伤后1h

伤后左心室心功能部分指标有明显改变。结论:心肌标志物联合超声检查对重度心肌挫伤有较高的急诊诊断价值。

Abstract

Objective:To evaluate the emergency diagnosis of severe myocardial contusion. Methods:Thirty patients with serious blunt chest trauma underwent sonourethrography

all of whom underwent conventional myocardial markers simultaneously.All the observation time phases were set as 1 h

2 h

4 h and 8 h after injuries. Results:Both the concentrations of cardiac troponin T (cTn-T)and cardiac troponin (IcTn-I)at 8h after injuries were significantly higher than those at 1h after injuries(P<0.05orP< 0.01). Part of the left ventricular function was remarkably decreased(P<0.05orP<0.01).Conclusion:Using myocardial markers combined with sonourethrography may provide a more valuable way in the emergency diagnosis of severe myocardial contusion.

关键词

重度心肌挫伤急诊诊断心肌标志物超声检查

Keywords

Severe myocardial contusionEmergency diagnosisMyocardial markersultrasonography

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