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Contusión miocárdica - Treatment

Nombres alternativos

Contusión del miocardio

Tratamiento:

El tratamiento por lo regular es de apoyo. A los pacientes se los mantiene bajo observación durante 24 horas con una vigilancia continua por medio de electrocardiograma.

En la sala de urgencias, los pacientes pueden recibir:

  • Colocación de catéter a través de una vena (IV)
  • Medicamentos para el alivio del dolor, alteraciones del ritmo cardíaco o hipotensión arterial
  • Marcapasos
  • Oxígeno suplementario
  • Diversas terapias para las lesiones, como la colocación de una sonda pleural, drenaje de sangre del saco pericárdico o cirugía para reparar los vasos sanguíneos rotos en el tórax

Expectativas (pronóstico):

Los casos leves generalmente se recuperan por completo.

Las lesiones más serias al corazón pueden provocar daño al miocardio, poniendo al paciente en riesgo de insuficiencia cardíaca o alteraciones del ritmo cardíaco.

  • Reviewed last on: 4/13/2010
  • Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Hamilton RS. Myocardial contusion. In: Rosen P, Barkin RM, Hayden Sr, Schaider JJ, Wolfe R, eds. Rosen and Barkin's 5-Minute Emergency Medicine Consult. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2007.

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