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钝性创伤后主动脉损伤和肠穿孔的急诊联合修复术。

Emergent combined repairs for aortic injury and bowel perforation after blunt trauma.

作者信息

Matsuyama Katsuhiko, Nakayama Tomohiro, Hagiwara Hiroaki

机构信息

Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, 5-161, Maehata-cho, Tajimi, Gifu, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2012 Sep;60(9):572-4. doi: 10.1007/s11748-012-0046-y. Epub 2012 May 31.

DOI:10.1007/s11748-012-0046-y
PMID:22648912
Abstract

Traumatic aortic rupture is frequently associated with multi-system injuries and is often immediately fatal. Although delayed open repair or endovascular repair has been recommended for an acceptable outcome, an emergency operation is mandatory for a life-threatening condition. We present here a challenging case of survival after immediate, combined repairs for acute aortic injury and bowel perforation.

摘要

创伤性主动脉破裂常伴有多系统损伤，且往往会立即导致死亡。尽管有人建议采用延迟开放修复或血管腔内修复以获得可接受的结果，但对于危及生命的情况，紧急手术是必不可少的。我们在此介绍一例极具挑战性的病例，患者在急性主动脉损伤和肠穿孔后立即进行联合修复，最终存活下来。

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