Kabiri E H, Atoini F, Boulahya A, El Bekkali Y
Thoracic Surgery, Mohamed V Military Teaching Hospital, Rabat, Morocco.
Thorac Cardiovasc Surg. 2010 Aug;58(5):309-10. doi: 10.1055/s-0029-1185953. Epub 2010 Aug 2.
We report a case of traumatic diaphragmatic and aortic rupture in a 27-year-old man after a vehicle accident. The patient underwent successful aortic replacement with a prosthetic graft and diaphragmatic suture. The patient died one month later secondary to rupture of the infected graft. Acute traumatic aortic rupture (TAR) and blunt diaphragmatic rupture (BDR) are life-threatening complications of blunt chest trauma; more than 80 % of patients with these lesions die at the site of accident and only a very small percentage of cases are transferred alive to the emergency unit. In patients with major blunt trauma, aortic rupture and diaphragmatic rupture must be systematically included in the differential diagnosis.
我们报告一例27岁男性在车祸后发生创伤性膈肌和主动脉破裂的病例。该患者接受了人工血管置换主动脉及膈肌缝合术，手术成功。但患者在一个月后因感染的人工血管破裂而死亡。急性创伤性主动脉破裂（TAR）和钝性膈肌破裂（BDR）是钝性胸部创伤危及生命的并发症；超过80%患有这些损伤的患者在事故现场死亡，只有极少数病例能活着被转运到急诊科。对于严重钝性创伤患者，必须将主动脉破裂和膈肌破裂系统地纳入鉴别诊断。
