血管造影在评价心脏及冠状动脉创伤中的地位。

Y Fléjou, E Roland, J Ecoiffier
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引用次数: 2

摘要

结合几个中心共21例的临床经验,分析了心脏和冠状动脉外伤性损伤的机制及典型病变。本文讨论了血管造影的适应症。早期血管造影可用于经强化治疗稳定患者病情后瓣膜、冠状动脉或心肌破裂的紧急确认;在这种情况下,血管造影和立即手术的适应症必须确定。延迟血管造影可用于更常见的情况,即观察到明显的、持续的临床、电学或放射学性质的异常。
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The place of angiography in the evaluation of traumatic injuries to the heart and coronary arteries.

The mechanisms leading to traumatic injuries of the heart and coronary arteries and the typical lesions found are analyzed in light of experience with a total of 21 cases from several centers. The indications for angiography are discussed. Early angiography may be used for the emergency verification of a valvular, coronary, or myocardial rupture after intensive treatment has stabilized the patient's condition; in such situations the relative indications for angiography versus immediate surgery must be determined. Delayed angiography may be used in the more usual situations in which clear, persistent anomalies of a clinical, electric, or radiologic nature are observed.

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