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多重创伤中的形胸腔和腹部大动脉损伤:一个案例报告
Seishiro Akinaga1, Takaaki Maruhashi1, Marina Oi1
1Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
本案例报告详细介绍了一种罕见的突发性胸前大动脉损伤 (BTAI),并由突发性腹部大动脉损伤 (BAAI) 复杂化. 这两种损伤的快速内血管修复导致了成功的患者结局.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 心血管成像 - 心血管成像
背景情况:
- 腹大动脉损伤 (BAAI) 是创伤性大动脉损伤的不常见并发症.
- 此前没有报告过同时发生的胸大动脉损伤 (BTAI) 和BAAI.
- 大动脉损伤需要及时诊断和管理,以防止灾难性的结果.
研究的目的:
- 报告一种罕见的同时发生的粗胸部和腹部大动脉损伤病例.
- 为突出结合性大动脉损伤的成功内血管管理.
- 根据受伤严重程度和器官损伤,强调及时干预的重要性.
主要方法:
- 一个老年男性患者在发生机动车事故后的病例介绍.
- 通过泛扫描对比度增强CT诊断证实了诊断,确定了III级BTAI和IV级BAAI与外流.
- 顺序内血管修复:入院当天进行腹腔大动脉修复,随后11天后进行胸腔内血管大动脉修复.
主要成果:
- 这位患者出现了III级胸前大动脉静脉损伤和IV级腹部大动脉损伤.
- 在入院当天进行了成功的内血管腹腔大动脉修复.
- 胸内血管大动脉修复BTAI成功完成了入院后11天.
- 患者经历了无并发症的术后过程,并得到了出院.
结论:
- 这一案件是首次报告BTAI因BAAI而复杂的案例.
- 内血管修复是结合胸腔和腹部大动脉损伤的可行治疗选择.
- 对大动脉损伤的治疗时间应以损伤严重程度,相关器官损伤和患者的稳定性为指导.
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