Trauma and Acute Care Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas.
Trauma and Acute Care Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas; Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Ann Thorac Surg. 2014 May;97(5):1788-90. doi: 10.1016/j.athoracsur.2013.07.115.
The management of vascular trauma in pediatric patients presents numerous challenges, especially in an austere environment. We present the case of a 3-year-old girl who sustained multiple fragmentation injuries to the right chest and right upper extremity as a result of combat activity in Iraq. This resulted in an occult pseudoaneurysm of the innominate artery identified during exploration of her right chest for a persistent air leak from the right side of the chest. Computed tomography angiography delineated the injury, which was surgically repaired. This report demonstrates the type of challenging cases encountered in a combat zone and illustrates the need for a national database of such injuries in pediatric patients to better inform surgical decision making.
小儿血管创伤的管理在资源匮乏的环境下极具挑战性，特别是在资源匮乏的环境下。我们报告了一例 3 岁女孩的病例，她在伊拉克的战斗活动中胸部右侧和右上臂多处粉碎性受伤，导致无名动脉隐匿性假性动脉瘤，在探查其右侧胸腔持续性气胸时发现。计算机断层血管造影术明确了损伤，并进行了手术修复。本报告展示了在战区遇到的具有挑战性的病例类型，并说明了在小儿患者中建立此类损伤的国家数据库以更好地为手术决策提供信息的必要性。
