Heller G, Schläpfer R, Stirnemann P, Stulz P
Klinik für Herz-, Thorax- und Gefässchirurgie, Kantonsspital Luzern.
Swiss Surg. 2000;6(2):84-7. doi: 10.1024/1023-9332.6.2.84.
Acute traumatic rupture of the thoracic aorta (ATRRA) is mainly a consequence of high-speed travel or fall from great altitude. Most of the victims die at the accident scene. Only 10-20% reach the hospital alive. Because of the extremely high mortality, emergency repair seems to be indicated. Taking into consideration that the hemorrhage into the mediastinum may remain constained and the patient usually suffers from a wide variety of life-threatening causes of injury the aforementioned option is probably not the best one. We report on a patient whose "stable" aortic rupture was surgically corrected after stablization of the circulation, coagulation and respiratory problems.
胸主动脉急性创伤性破裂（ATRRA）主要是高速行进或从高处坠落的后果。大多数受害者死于事故现场。只有10% - 20%的人能活着到达医院。由于死亡率极高，似乎需要进行紧急修复。考虑到纵隔内出血可能受到限制，且患者通常患有多种危及生命的损伤原因，上述选择可能并非最佳方案。我们报告了一名患者，其“稳定”的主动脉破裂在循环、凝血和呼吸问题得到稳定后通过手术得到纠正。
