TY - JOUR A2 - Imanaka, Kazuhito AU - Tokioka, Sayuri AU - Masuda, Shinichiro AU - Shirokawa, Masamitsu AU - Shibui, Takashi PY - 2018 DA - 2018/10/23 TI -心肺复苏后无胸壁骨折的内乳动脉损伤:SP - 1948151vl - 2018 AB -高质量心肺复苏(CPR)对心脏骤停后的生存至关重要。然而，各种各样的胸部压迫相关损伤已经被报道过。内乳动脉(IMA)损伤是CPR术后少见的并发症之一，大多数病例包括肋骨和胸骨骨折。在这个报告中，我们描述了一个罕见的IMA损伤后，没有胸壁骨折CPR。85岁男性，2周前有急性心肌梗死病史，因持续性室性心动过速(VT)来我院就诊。入院后出现持续室速需心肺复苏术数次。急诊冠状动脉造影显示左前降支有90%的狭窄。因此，急诊经皮冠状动脉介入治疗(PCI)。PCI期间，血气分析显示血清血红蛋白水平下降。 Contrast computed tomography revealed hemothorax and extravasation at the branch of the right IMA without chest wall fractures. The patient’s deteriorating hemodynamic condition precluded thoracotomy or embolization to stop the bleeding. The patient died on the next day of hospitalization. IMA injury can occur after CPR, regardless of chest wall fractures and can be fatal without early diagnosis. For an emergency physician, IMA injury should be considered as a cause of unknown anemia after CPR. SN - 2090-648X UR - https://doi.org/10.1155/2018/1948151 DO - 10.1155/2018/1948151 JF - Case Reports in Emergency Medicine PB - Hindawi KW - ER -