Department of Surgery, Boston Children's Hospital/Harvard Medical School, Boston, MA 02115, USA.
J Pediatr Surg. 2013 Jul;48(7):1584-7. doi: 10.1016/j.jpedsurg.2012.08.035.
Traumatic injury has been the most common cause of morbidity and mortality in the pediatric population, but injuries to the abdominal aorta are rare. We reviewed 2 children who underwent exploratory laparotomy for blunt aortic injury in which intra-operative ultrasound guided the surgical approach. Intra-operative ultrasound allowed us to minimize resection of normal aorta and achieve primary repair. In the pediatric population, achieving primary repair is ideal, as synthetic grafts will likely need future revisions as children grow. Here we present the use of intra-operative ultrasound in maximizing the chance at primary repair of the aorta following blunt injury.
创伤是儿科人群发病率和死亡率的最常见原因，但腹部主动脉损伤却很少见。我们回顾了 2 例因钝性主动脉损伤而行剖腹探查术的儿童病例，术中超声引导手术入路。术中超声使我们能够最大限度地减少正常主动脉的切除，并实现一期修复。在儿科人群中，实现一期修复是理想的，因为随着儿童的成长，合成移植物可能需要未来的修复。在这里，我们介绍了在钝性损伤后通过术中超声最大限度提高主动脉一期修复机会的方法。
