Mayo Erin, Hackworth Jodi, Billmire Deborah
Department of Trauma Services, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana (Ms. Mayo and Hackworth and Dr Billmire); and Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana (Dr Billmire).
J Trauma Nurs. 2014 Jan-Feb;21(1):9-13. doi: 10.1097/JTN.0000000000000024.
Blunt aortic injuries are extremely rare in the pediatric population. This case report examines a pediatric patient involved in a motor vehicle crash that resulted in aortic dissection combined with traumatic brain injury. The clinical management of this patient was particularly challenging because of the conflicting needs of optimal management for the head and aortic injuries. Despite the patient's low predicted probability of survival based on Injury Severity Score, the patient had an exceptional outcome.
钝性主动脉损伤在儿科人群中极为罕见。本病例报告研究了一名因机动车碰撞事故导致主动脉夹层并伴有创伤性脑损伤的儿科患者。由于头部和主动脉损伤的最佳管理需求相互冲突，该患者的临床管理极具挑战性。尽管根据损伤严重程度评分，该患者的生存预测概率较低，但最终取得了优异的治疗效果。
