最後更新：2026年10月1日
胸部鈍傷導致心肌損傷、出血或水腫。可能引起心律不整、心肌功能異常,嚴重時可致命。
Restrictive cardiomyopathy and unclassified cardiomyopathy are also common in cats. Pleural effusion (modified transudate) is more common than pulmonary edema in feline CHF. Clopidogrel is recommended for ATE prevention in cats with moderate-to-severe cardiac disease.
Canine cardiac disease often presents with cough (left-sided CHF) or ascites (right-sided CHF). Breed-specific screening echocardiography is recommended for predisposed breeds. Holter monitoring is standard for Dobermans and Boxers.
這頁有幾個欄位是同系統共用的模板，還沒針對本疾病單獨改寫過。請以臨床判斷為準，記得對照下方文獻。
建議：限制輸液速率 (restricted rate)，避免容量過負荷
監測頻率：居家每日；回診時
[1]Effects of amifostine against blunt chest trauma-induced cardiac injury in rats.
[2]ACVIM consensus statement guidelines for the classification, diagnosis, and management of cardiomyopathies in cats
急性發作需及時介入以防止不可逆損傷 (acute onset requiring timely intervention to prevent irreversible damage)
飼主衛教
用藥指引
⚠ 警訊症狀（立即回診）
環境調整
長期計畫：每 3-6 個月心臟超音波追蹤，終身用藥管理
限制活動
限制劇烈運動，允許短距離緩步散步 (leash walk for toileting)
期間：穩定後可漸進恢復，依心功能分級調整
預後良好至謹慎;輕度挫傷多在數日內恢復;嚴重心律不整或心肌破裂預後不良
心肌挫傷 診斷流程
評估胸部外傷後心律不整，注意車禍等高能量創傷病史
進行持續心電圖監測和心肌肌鈣蛋白I/T檢測
進行心臟超音波評估心肌收縮功能和心包積液
來源：專家審閱