高度的腹部固体器官创伤中的血管损伤的发生率,治疗和演变
Ellen Barnes1, James Carroll2, Sana Nasim3
1Trauma Unit, Royal Perth Hospital, Victoria Square, Perth, WA, Australia; Royal College of Surgeons Ireland, Dublin, Ireland.
Injury
|November 8, 2025
概括
血管损伤在高度的体器官创伤中很常见,特别是脏损伤. 许多伤害自发地消失,这表明常规的出院后成像可能不需要.
科学领域:
- 创伤外科手术是什么
- 这是血管外科手术.
- 紧急医疗 紧急医疗
背景情况:
- 血管损伤是突如其来的固体器官创伤中出血的重要危险因素.
- 这些伤害的自然史和自发解决方案尚未得到充分理解.
- 这项研究的重点是高等级的不的固体器官创伤.
研究的目的:
- 为了评估高度体固体器官创伤中血管损伤的发生率和检测时间.
- 评估治疗策略,包括自发解决率.
- 为了确定与这种患者群体的血管损伤相关的结果.
主要方法:
- 对患有III级或更高,肝或损伤的患者进行回顾性队列研究 (2018-2023年).
- 收集的数据包括手术,血管栓塞,延迟出血和血管损伤发展/回归率.
- 在西澳大利亚的单身成人大创伤中心进行的分析.
主要成果:
- 血管损伤发生在脏损伤的62.2%,肝脏损伤的24.1%,脏损伤的21.5%.
- 血管栓塞在大多数治疗的脏,肝脏和脏血管损伤中是成功的.
- 很大一部分血管损伤 (28.3%的) 没有得到治疗,并且发生了三起延迟出血的病例.
结论:
- 血管损伤经常发生在高度的体固体器官创伤中,特别是脏损伤.
- 间隔住院成像可以检测出新的,临床相关的血管损伤.
- 相当数量的血管损伤自发地消失,这可能会减少对全方位放电后成像的需求.
相关概念视频
Burn Injuries
4.0K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
4.0K
Flail Chest-II
504
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
504
Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
Esophageal Varices-II: Clinical Features and Management
355
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
355
Aneurysm II: Clinical Manifestations and Diagnostic Studies
258
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
258
Esophageal Perforation-I: Introduction
405
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
405


