一名创伤患者使用上腔静脉分流术：夏威夷首例报告病例。
Use of an atriocaval shunt in a trauma patient: first reported case in Hawai'i.
作者信息
Clark Justin J, Steinemann Susan, Lau Jeffrey M
机构信息
The University of Hawai'i Surgical Residency Program, and The Queen's Medical Center, Honolulu, HI, USA.
出版信息
Hawaii Med J. 2010 Feb;69(2):47-8.
BACKGROUND
Traumatic injuries to the retrohepatic vena cava are typically fatal. Emergent access to this area is difficult and patients typically exsanguinate before the injury can be identified and fixed.
OBJECTIVE
To report the use of an atriocaval shunt in the repair of an injury to the retrohepatic vena cava from a gunshot wound.
CASE REPORT
A 24-year-old man was shot in his right chest suffering a penetrating injury to the liver and inferior vena cava. Surgical repair was performed with the aid of an atriocaval shunt fashioned from a chest tube. He survived and recovered without incident.
CONCLUSION
Atriocaval shunting maybe a life-saving option for uncontrolled hemorrhage from injuries to the retrohepatic vena cava.
背景
肝后下腔静脉创伤性损伤通常是致命的。紧急进入该区域困难，患者通常在损伤被识别和修复之前就会因失血过多而死亡。
目的
报告使用心房腔静脉分流术修复枪伤所致肝后下腔静脉损伤。
病例报告
一名24岁男性右胸受枪击，导致肝脏和下腔静脉穿透伤。借助由胸管制成的心房腔静脉分流器进行了手术修复。他存活下来且未发生并发症。
结论
心房腔静脉分流术可能是治疗肝后下腔静脉损伤导致的无法控制的出血的一种挽救生命的选择。
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