Moeinipour Aliasghar, Fathi Mehdi, Sepehri Shamloo Alireza, Amini Shahram, Hoseinikhah Hamid, Kianinejad Akram
Atherosclerosis Prevention Research Center, Mashhad University of Medical Sciences, Imam Reza Hospital, Iran.
Imam Reza Hospital, Mashhad University of Medical Sciences, Iran.
Case Rep Crit Care. 2015;2015:513617. doi: 10.1155/2015/513617. Epub 2015 Sep 7.
Nonsurgical bleeding after complex thoracic aortic procedures (such as aortic dissection and aortic aneurysm) is a great challenge for cardiac surgeons because of severe coagulopathy, exsanguinous bleeding, and inevitable death. Temporary mediastinal packing (with sponge) in such cases is the only life-saving technique with good result in most cases. Herein, we presented three cases with acute aortic dissection with intractable bleeding that was successfully managed with mediastinal packing.
复杂胸主动脉手术后（如主动脉夹层和主动脉瘤）的非手术性出血，由于严重的凝血功能障碍、大量失血和不可避免的死亡，对心脏外科医生来说是一个巨大的挑战。在这种情况下，临时纵隔填塞（用海绵）是唯一的救命技术，在大多数情况下效果良好。在此，我们报告了三例急性主动脉夹层伴难治性出血的病例，通过纵隔填塞成功治疗。
