Lin Hsing-Lin, Lee Wei-Che, Chen Chao-Wen, Kuo Liang-Chi, Chan Hon-Man
Department of Trauma, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2008 May;24(5):270-3. doi: 10.1016/S1607-551X(08)70152-9.
Aortic rupture is a critical condition in trauma patients. Most patients are killed at the scene of the accident. A patient who survives long enough to reach hospital also has a high risk of rupture during management. We report a patient who was transferred from a municipal hospital with the emergency complex of blunt head trauma and chest and abdominal contusion. Chest computed tomography scan revealed aortic rupture. Liver laceration with hemodynamic stability and brain concussion were also diagnosed in the emergency room. She was admitted to the trauma intensive care unit without emergency surgery. She received aorta repair after 5 days of observation. After the operation, the patient recovered very well. Delayed surgery for aortic rupture as a treatment choice may be of benefit in selected complex trauma cases.
主动脉破裂是创伤患者的一种危急情况。大多数患者在事故现场死亡。存活足够长时间到达医院的患者在治疗过程中也有很高的破裂风险。我们报告一例从市级医院转来的患者，伴有钝性头部创伤、胸部和腹部挫伤的急诊综合征。胸部计算机断层扫描显示主动脉破裂。在急诊室还诊断出肝裂伤且血流动力学稳定以及脑震荡。她被收入创伤重症监护病房，未进行急诊手术。经过5天的观察后她接受了主动脉修复手术。术后，患者恢复得非常好。对于选定的复杂创伤病例，将延迟手术作为主动脉破裂的一种治疗选择可能是有益的。
