腹主动脉瘤患者遭受袭击后发生致命性血栓栓塞并发症。

Fatal thromboembolic complications following assault in a subject with an abdominal aortic aneurysm.

作者信息

Davison Andrew Meikle

机构信息

Department of Forensic Pathology, Wales Institute of Forensic Medicine, Cardiff University College of Medicine, Heath Park, Cardiff, CF14 4XN, UK.

出版信息

Forensic Sci Med Pathol. 2009;5(2):90-4. doi: 10.1007/s12024-009-9084-x. Epub 2009 May 5.

DOI:10.1007/s12024-009-9084-x

PMID:19415538

Abstract

A 62-year-old male with no significant medical history developed thromboembolic complications in the lower limbs shortly after an assault which involved punching and kicking to the trunk. Laparotomy revealed intra-abdominal injuries and an abdominal aortic aneurysm. Death from multi-organ failure and sepsis occurred 9 days post-injury. The discussion concentrates on blunt force trauma to the abdominal aorta, specifically on causation, mechanisms of injury and complications.

摘要

一名62岁男性，无重大病史，在遭受一次涉及对其躯干拳打脚踢的袭击后不久，下肢出现血栓栓塞并发症。剖腹探查发现腹腔内损伤和腹主动脉瘤。受伤9天后死于多器官功能衰竭和脓毒症。讨论集中在腹主动脉钝性创伤，特别是关于病因、损伤机制和并发症。