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采用新型手术技术控制创伤性肋间动脉出血：一例报告

Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report.

作者信息

Miettinen Simo, Hakala Tapio

机构信息

Department of Surgery, North Karelian Central Hospital, Tikkamaentie 16, Joensuu, 80210, Finland.

出版信息

J Med Case Rep. 2012 Sep 25;6:318. doi: 10.1186/1752-1947-6-318.

DOI:10.1186/1752-1947-6-318
PMID:23009261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3469334/
Abstract

INTRODUCTION

A blunt thoracic trauma may cause arterial bleeding requiring operative treatment or endovascular embolization or endovascular aortic stenting. A novel damage control technique to stop such bleeding is presented.

CASE PRESENTATION

We present the case of an 82-year-old Caucasian man who experienced rib fractures I-VII on the left side and bleeding from damaged intercostal arteries after a blunt thoracic trauma. Emergency thoracotomy was performed.

CONCLUSIONS

Effective hemostasis was achieved by using a rolled surgical swab and inserting it against the chest wall next to the aorta with sutures pulled through the intercostal muscles and then sutured to the back side of the patient. The patient died four days after the surgery due to a head injury sustained in the car crash.

摘要

引言

钝性胸部创伤可能导致动脉出血，需要进行手术治疗、血管内栓塞或血管内主动脉支架置入术。本文介绍一种用于止血的新型损伤控制技术。

病例介绍

我们报告一例82岁白种男性病例，其在钝性胸部创伤后出现左侧第I - VII肋骨骨折及肋间动脉损伤出血。遂行急诊开胸手术。

结论

通过使用卷状手术拭子，将其靠在主动脉旁的胸壁上，缝线穿过肋间肌并缝合到患者背部，实现了有效的止血。患者术后四天因车祸导致的头部损伤死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b9/3469334/94e1c53419f0/1752-1947-6-318-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b9/3469334/b7a39dab0da0/1752-1947-6-318-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b9/3469334/94e1c53419f0/1752-1947-6-318-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b9/3469334/b7a39dab0da0/1752-1947-6-318-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b9/3469334/94e1c53419f0/1752-1947-6-318-2.jpg

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引用本文的文献

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Repeated embolization of intercostal arteries after blunt chest injury.钝性胸部损伤后肋间动脉的反复栓塞
Gen Thorac Cardiovasc Surg. 2014 Nov;62(11):696-9. doi: 10.1007/s11748-013-0269-6. Epub 2013 Jun 1.

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