Division of Vascular Surgery, Vancouver General Hospital & University of British Columbia, British Columbia, Canada.
J Vasc Surg. 2010 Mar;51(3):763-9. doi: 10.1016/j.jvs.2009.12.014.
A 42-year-old female is involved in a motor vehicle accident and presents with a number of injuries. She is hemodynamically stable and is found to have multiple rib fractures, a hemopneumothorax, and several uncomplicated long bone fractures. A CT scan of her chest reveals a traumatic injury to her proximal descending thoracic aorta with evidence of pseudoaneurysm formation and surrounding hematoma (Fig 1). The following debate attempts to resolve whether open repair remains the gold standard for the treatment of blunt thoracic aortic injuries.
一位 42 岁女性遭遇车祸，身上有多处受伤。她血流动力学稳定，发现有多根肋骨骨折、血气胸和几处简单的长骨骨折。胸部 CT 扫描显示其近段降主动脉外伤性损伤，有假性动脉瘤形成和周围血肿的证据（图 1）。以下辩论旨在确定开放修复是否仍然是治疗钝性胸主动脉损伤的金标准。
