Oozawa Susumu, Aoki A, Otsubo S, Miyajima Y, Ishimaru Y
Department of Cardiovascular Surgery, Matsuyama Shimin Hospital, Matsuyama, Japan.
Kyobu Geka. 2005 Jul;58(7):573-5.
Nonpenetrating traumatic injury of the thoracic aorta and/or its major branch is usually fatal and the treatment of this condition carries extremely high risk because of associated visceral organ injuries. Accurate diagnosis have been difficult. However, recently developed multi-slice helical computed tomography (CT) is highly sensitive in early detection of precise location of injury and associating injuries of other organs. Here we report our case with combined thoracic aortic and left subclavian artery injuries, diagnosed by 3-dimensional (3-D) CT and treated successfully.
胸主动脉及其主要分支的非穿透性创伤通常是致命的,由于伴有内脏器官损伤,这种情况的治疗风险极高。准确诊断一直很困难。然而,最近开发的多层螺旋计算机断层扫描(CT)在早期检测损伤的精确位置以及其他器官的相关损伤方面具有高度敏感性。在此,我们报告一例经三维(3-D)CT诊断并成功治疗的合并胸主动脉和左锁骨下动脉损伤的病例。