Bole P V, Munda R, Purdy R T, Lande A, Gomez R, Clauss R H, Kazarian K K, Mersheimer W L
J Trauma. 1976 Jan;16(1):63-70.
The management of 23 patients with traumatic pseudoaneurysms is presented. A pulsatile mass associated with pain was the usual presentation. Hypertension and hypovolemic shock from rupture are uncommon presentations but potential hazards of this lesion. Twenty-one pseudoaaeurysms were treated surgically. Resection with end-to-end anastomosis (eight patients), with graft replacement (one patient), with lateral repair (seven patients) was done. Hypothermia with circulatory arrest and external Dacron shunt were used to prevent visceral ischemia during high aortic occlusion. There were no mortalities or significant postoperative complications.
本文介绍了23例创伤性假性动脉瘤患者的治疗情况。通常表现为伴有疼痛的搏动性肿块。破裂导致的高血压和低血容量性休克虽不常见,但却是该病变的潜在危害。21例假性动脉瘤接受了手术治疗。采用端端吻合术切除(8例)、移植置换术(1例)、侧方修补术(7例)。在高位主动脉阻断期间,采用低温循环停止和外部涤纶分流术以防止内脏缺血。无死亡病例或严重术后并发症。