Choit Rachel L, Tredwell Stephen J, Leblanc Jacques G, Reilly Christopher W, Mulpuri Kishore
Department of Orthopedics, British Columbia Children's Hospital, Vancouver, British Columbia, Canada V6H 3V4.
J Pediatr Surg. 2006 Jun;41(6):1184-90. doi: 10.1016/j.jpedsurg.2006.01.069.
Injury to the abdominal aortic artery from blunt trauma is an infrequent event with few cases reported in either the adult or the pediatric literature. Injury to the thoracic aorta after blunt abdominal trauma is more common. It has been estimated that 95% to 99% of all aortic disruptions are in the thoracic region. Injury to the abdominal aorta is rarely seen in association with fractures of the lumbar spine secondary to seat belt use in motor vehicle accidents; there are few cases in the literature of these injuries in pediatric patients. Nevertheless, the overall mortality rate of this injury has been reported to be between 18% and 37%. It is therefore important to be aware of the possible association to allow prompt diagnosis and management of multitraumatized patients because extensive injuries to the abdominal viscera may mask aortic dissection and prognosis is significantly improved with early intervention.
钝性创伤导致腹主动脉损伤是一种罕见事件，成人和儿科文献中报道的病例都很少。钝性腹部创伤后胸主动脉损伤更为常见。据估计，所有主动脉破裂中有95%至99%发生在胸部区域。在机动车事故中因使用安全带继发腰椎骨折而导致腹主动脉损伤的情况很少见；儿科患者中这类损伤的文献报道也很少。然而，据报道这种损伤的总体死亡率在18%至37%之间。因此，认识到可能的关联对于及时诊断和处理多发伤患者很重要，因为腹部脏器的广泛损伤可能掩盖主动脉夹层，而早期干预可显著改善预后。
