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大血管创伤概述。

Overview of great vessel trauma.

作者信息

Brinkman William T, Szeto Wilson Y, Bavaria Joseph E

机构信息

Division of Cardiovascular Surgery. Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104, USA.

出版信息

Thorac Surg Clin. 2007 Feb;17(1):95-108. doi: 10.1016/j.thorsurg.2007.02.009.

Abstract

Traumatic injury to the aorta and the brachiocephalic branches are potentially lethal injuries. Specialized preoperative imaging and medical management can lead to better outcomes in this group of patients. In addition, improved surgical techniques for spinal cord protection have led to decreased morbidity in surgical candidates. TEVAR remains a promising technique; however, long-term data currently are not available.

摘要

主动脉及头臂分支的创伤性损伤是潜在的致命伤。专业的术前影像学检查和医疗管理可使这类患者获得更好的治疗效果。此外,脊髓保护手术技术的改进降低了手术候选患者的发病率。胸主动脉腔内修复术(TEVAR)仍是一项有前景的技术;然而,目前尚无长期数据。

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