Ozkokeli Mehmet, Ates Mehmet, Topaloğlu Umit, Muftuoglu Tolga
Department of Cardiovascular Surgery, Prof. Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey.
Tohoku J Exp Med. 2003 Jun;200(2):99-101. doi: 10.1620/tjem.200.99.
The inferior vena cava (IVC) is the most frequently injured retroperitoneal vascular structure. Despite the improvements in preoperative care and operation techniques, mortality rates for inferior vena cava injuries are still high due to delayed or inadequate volume recussitation, difficulty of diagnosis and technical problems in repair. A 1.5-cm sized wound at the IVC was primarly repaired by suturing. Because of appropriate and successful perioperative blood and fluid resuscitation, the patient was able to survive. We report a case of successfully treated IVC injury caused by a gunshot.
下腔静脉(IVC)是腹膜后最常受损的血管结构。尽管术前护理和手术技术有所改进,但由于容量复苏延迟或不足、诊断困难以及修复中的技术问题,下腔静脉损伤的死亡率仍然很高。下腔静脉一个1.5厘米大小的伤口最初通过缝合进行修复。由于围手术期血液和液体复苏得当且成功,患者得以存活。我们报告一例因枪伤导致的下腔静脉损伤成功治疗的病例。