blunt cardiac injury in trauma patients with thoracic aortic injury心脏损伤钝伤患者胸主动脉损伤.pdfVIP

Hindawi Publishing Corporation Emergency Medicine International Volume 2011, Article ID 848013, 6 pages doi:10.1155/2011/848013 Research Article Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury Rathachai Kaewlai,1, 2 Marc A. de Moya,3 Antonio Santos,4 Ashwin V. Asrani,1 Laura L. Avery,1 and Robert A. Novelline1 1 Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USA 2 Department of Radiology, Ramathibodi Hospital and Mahidol University, 270 Rama VI Road, Ratchatewi, Bangkok 10400, Thailand 3 Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USA 4 Departamento de Cirurgia Geral, Hospital Geral de Santo Ant´onio, Largo do Prof. Abel Salazar, 4099-001 Porto, Portugal Correspondence should be addressed to Rathachai Kaewlai, rathachai@ Received 27 February 2011; Accepted 10 May 2011 Academic Editor: Aristomenis K. Exadaktylos Copyright © 2011 Rathachai Kaewlai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Trauma patients with thoracic aortic injury (TAI) suffer blunt cardiac injury (BCI) at variable frequencies. This investigation aimed to determine the frequency of BCI in trauma patients with TAI and compare with those without TAI. All trauma patients with TAI who had admission electrocardiography (ECG) and serum creatine kinase-MB (CK-MB) from January 1999 to May 2009 were included as a study group at a level I trauma center. BCI was diagnosed if there was a positive ECG with either an elevated CK-MB or abnormal echocardiography. There were 26 patients (19 men, mean age 4