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首页> 外文期刊>Hong Kong journal of emergency medicine. >Optimal treatment for blunt trauma patients with cardiopulmonary arrest: An account of a successful case and review of the literature
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Optimal treatment for blunt trauma patients with cardiopulmonary arrest: An account of a successful case and review of the literature

机译：钝性创伤性心肺骤停患者的最佳治疗：成功案例的总结并文献复习

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Introduction: Prognosis of cardiopulmonary arrest occurring in patients with blunt trauma is very poor; patients rarely recover from this condition. We either do not attempt cardiopulmonary resuscitation or terminate it after some time in blunt trauma–cardiopulmonary arrest cases. We presented a rare case of successful resuscitation of a patient with blunt trauma–cardiopulmonary arrest. Case presentation: A 54-year-old man was admitted to our emergency department after being injured in a traffic accident. The patient suffered from ventricular fibrillation, and spontaneous circulation was restored by a defibrillator. The estimated arrest time was 20 min. Discussion: On arrival of our emergency department, the patient showed intra-abdominal hemorrhage and we performed emergency surgery; 10 days after admission, the patient suffered from pulseless ventricular tachycardia—coronary angiography was performed, which revealed that the patient had coronary artery stenosis. Conclusion: We experienced trauma patients concealed with coronary artery stenosis. In traumatic arrest with ventricular fibrillation, it may be due to a medical reason, and more prolonged and intensive resuscitation may be considered.
机译：简介：钝性创伤患者发生心肺骤停的预后很差;患者很少能从这种情况中恢复。在钝性创伤性心肺骤停病例中，我们要么不尝试心肺复苏，要么在一段时间后终止心肺复苏。我们介绍了罕见的钝性创伤性心肺骤停患者成功复苏的案例。案例介绍：一名54岁的男子在交通事故中受伤后被送往我们的急诊室。该患者患有心室纤颤，并通过除颤器恢复了自发性循环。预计逮捕时间为20分钟。讨论：到达急诊科后，患者出现腹腔内出血，我们进行了急诊手术;入院后10天，该患者患有无脉性室性心动过速-进行了冠状动脉造影，表明该患者患有冠状动脉狭窄。结论：我们经历了隐匿冠状动脉狭窄的创伤患者。在伴有心室纤维性颤动的外伤性停搏中，可能是由于医学原因，并且可以考虑进行更长时间和更深入的复苏。

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