Schmid F X, Philipp A, Faltermeier H, Schädinger U, Link J, Birnbaum D
Klinik für Herz-, Thorax- und herznahe Gefässchirurgie, Klinikum der Universität Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg.
Unfallchirurg. 2002 Jul;105(7):647-50. doi: 10.1007/s00113-001-0394-z.
Blunt thoracic injury in association with aortic rupture represents a life-threatening situation. Surgical repair used to be the preferred method of treatment. Because most patients are multiple trauma patients including head injuries, bone fractures and respiratory failure, urgent surgical procedures portend excessively high morbidity and mortality rates. Delay in operative management bears the risk of exsanguinating hemorrhage, secondary complications, prolonged hospital stay with increased costs. We present here an alternative treatment protocol including pumpless extracorporal lung assist and endovascular aortic stent graft placement in a 20-year old traffic accident victim. This procedure may be an especially useful treatment option in managing patients with complex lung and aortic pathology primarily not suitable for transportation or surgery.
钝性胸部损伤合并主动脉破裂是一种危及生命的情况。手术修复曾是首选的治疗方法。由于大多数患者为多发伤患者，包括头部损伤、骨折和呼吸衰竭，紧急手术操作意味着过高的发病率和死亡率。手术治疗延迟存在失血性出血、继发并发症、住院时间延长及费用增加的风险。我们在此介绍一种替代治疗方案，该方案包括在一名20岁交通事故受害者中应用无泵体外肺辅助和血管内主动脉支架植入术。对于主要不适合转运或手术的复杂肺部和主动脉病变患者，此方法可能是一种特别有用的治疗选择。
